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      <FootnoteInPartXIII>X</FootnoteInPartXIII>
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        <Identifier>Description of Uncertain Tax Positions Under FIN 48:</Identifier>
        <ReturnReference>Part X, Line 2:</ReturnReference>
        <Explanation>ACHE is a tax-exempt organization under Internal Revenue Code Sections 501(c)(6). ACHE is subject to taxes on unrelated business income, which generally result from ACHE's advertising revenues. ACHE had $1,409,887 and $1,336,227 in gross advertising revenues, and incurred $310,857 and $306,375 in income tax expense, for the years ended December 31, 2012 and 2011, respectively, which is included in other expenses. The accounting standard on Accounting for Uncertainty in Income Taxes addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the consolidated financial statements. Under this guidance, the Organization may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities, based on the technical merits of the position. Examples of tax positions include the tax-exempt status of the Organization and various positions related to the potential sources of unrelated business taxable income (UBIT). There were no unrecognized tax benefits identified or recorded as liabilities for the reporting periods included in these consolidated financial statements. ACHE files the Form 990 in the U.S. federal jurisdiction and the State of Illinois. ACHE is generally no longer subject to examination by the Internal Revenue Service for years before 2009.</Explanation>
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          <City>Naperville</City>
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          <City>Bethesda</City>
          <State>MD</State>
          <ZIPCode>20814</ZIPCode>
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        <Identifier>Form 990, Schedule I, Part I, Line 2</Identifier>
        <Explanation>The Foundation of the American College of Healthcare Executives is a related organization with a shared board and officers. American College of Healthcare Executives' CEO was on the Board of Overseers of the Malcolm Baldrige National Quality Award and was able to monitor the use of contributed funds. Monitoring of the Illinois Performance Excellence support was accomplished through ACHE's involvement in organizational training. American College of Healthcare Executives' COO was on the board of directors for the Institute for Diversity in Health Management and was able to monitor the use of contributed funds. Health Administration Press (a division of ACHE's related Foundation) works with AUPHA throughout the year attending programs, as well as, involvement with AUPHA in our royalty program. ACHE is on the advisory council of Enroll America and is able to monitor use of support through this capacity.</Explanation>
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        <NamePerson>Deborah Jean Bowen FACHE</NamePerson>
        <Title>Executive Vice President / COO</Title>
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        <NamePerson>Edmund J Dietrich FACHE</NamePerson>
        <Title>Chief Financial Officer</Title>
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        <NamePerson>Cynthia A Hahn FACHE</NamePerson>
        <Title>VP-Membership</Title>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Maureen Catherine Glass FACHE</NamePerson>
        <Title>Foundation VP-Health Admin Press</Title>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Howard Jaye Horwitz FACHE</NamePerson>
        <Title>Foundation VP-Education</Title>
        <BaseCompensationFilingOrg>191158</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>26314</BonusFilingOrg>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Thom D Freyer FACHE</NamePerson>
        <Title>VP-Regional Services</Title>
        <BaseCompensationFilingOrg>168294</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>28156</BonusFilingOrg>
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      </Form990ScheduleJPartII>
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        <NamePerson>Kimberly J Mosley</NamePerson>
        <Title>VP-Management Info Sys / CIO</Title>
        <BaseCompensationFilingOrg>139943</BaseCompensationFilingOrg>
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        <BonusFilingOrg>22875</BonusFilingOrg>
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      </Form990ScheduleJPartII>
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        <NamePerson>Lisa Freund</NamePerson>
        <Title>VP-Communications &amp; Marketing</Title>
        <BaseCompensationFilingOrg>126376</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 1a</ReturnReference>
        <Explanation>Three chairman officers, CEO, and the Governors (directors) have a spousal travel benefit. All spousal travel has been reported as taxable compensation.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 4b</ReturnReference>
        <Explanation>The following individuals participated in a non-qualified retirement plan: Thomas C Dolan, PHD, FACHE $111,076 Deborah Jean Bowen, FACHE $103,664</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 6</ReturnReference>
        <Explanation>ACHE has eight categories of membership: Members, Fellows, Honorary Fellows, Life Fellows, Faculty Associates, Student Associates, International Associates, and Retired Affiliates. Only Fellows, Life Fellows, and Members may vote. No other membership category shall have voting rights.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7a</ReturnReference>
        <Explanation>Each Voting Member is entitled to one vote in the election of the member of the Council of Regents representing his or her voting jurisdiction. Only Fellows who reside in the voting jurisdiction to be respresented and are employed in a healthcare management position shall be eligible to be candidates for or serve as members of the Council of Regents. Members of the Council of Regents may represent only the voting jurisdiction in which they are eligible to vote. Each Regent representing a voting jurisdiction shall have one vote on the Council of Regents. The Council of Regents has the power to elect the Chairman Officers of ACHE and to elect members of the Board of Governors.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7b</ReturnReference>
        <Explanation>The Council of Regents shall serve as the primary advisory body to the Board of Governors representing the affiliates and shall have the following powers: (a) to elect the Chairman Officers of ACHE, (b) to elect members of the Board of Governors, (c) to recommend to the Board of Governors, by majority vote at the annual meeting of the Council of Regents, (d) to recommend to the Board of Governors special committees or task forces for particular or special purposes, (e) to approve or to disapprove recommendations, reports, actions, or resolutions placed before the Council by the Officers and the Board of Governors. The Council may modify any such proposal, but, in so doing, the Council shall return it to the Board of Governors or Officers for reconsideration. A proposal so modified shall not be effective until resubmitted and approved by the Council; and (f) to make proposals and recommendations to the Board of Governors, which may be required to take action and report theron at a subsequent meeting of the Council.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>A draft form 990 was sent to both the Audit Committee and the Board. Each group then met via conference call to discuss the key points of the 990 and allow for discussion. The Audit Committee met on 8/8/2013 and the Board on 8/12/2013. Any changes deemed necessary were made to the returns before the final filing with the IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>During each Board and Executive Committee meeting, American College of Healthcare Executives' members are afforded the opportunity to declare any conflicts and recuse themselves from a decision if warranted. Each year the conflict of interest policy is re-executed and any new conflicts noted. Also, all staff are required to submit an annual statement regarding the conflict of interest policy and their compliance. The Human Resource department ensures that all forms are completed and returned.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>The CEO's compensation is established by the following means: use of a compensation committee, independent consultant, compensation studies, and approval by the Board Compensation Committee. All other officers and key employees have an annual comparability study done, and an independent review is done every three years. All discussions are contemporaneously documented.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>ACHE makes its by-laws, conflict of interest policy, and a summary of the consolidated audited financial report available to the public at www.ache.org. The full audited financial report is available upon request.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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          <BusinessNameLine1>Foundation of the ACHE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>One North Franklin Suite 1700</AddressLine1>
          <City>Chicago</City>
          <State>IL</State>
          <ZIPCode>60606</ZIPCode>
        </AddressUS>
        <EIN>360724325</EIN>
        <PrimaryActivities>Education</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
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          <BusinessNameLine1>Professional Society Services Inc &amp; Subs</BusinessNameLine1>
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          <AddressLine1>One North Franklin Suite 1700</AddressLine1>
          <City>Chicago</City>
          <State>IL</State>
          <ZIPCode>60606</ZIPCode>
        </AddressUS>
        <EIN>363313467</EIN>
        <PrimaryActivity>Management Services</PrimaryActivity>
        <LegalDomicileState>IL</LegalDomicileState>
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      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
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      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
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      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
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        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
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      <TransactionsRelatedOrgsTable>
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        <TransactionType>Q</TransactionType>
        <AmountInvolved>1071249</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
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        <ReturnReference>Form 990, Schedule R, Part V, Line 2</ReturnReference>
        <Explanation>The following transactions do not constitute unrelated business income for either entity under Section 512(b)(13). Under Rev Rul 71-529, income derived from management and administrative services do not constitute unrelated business income. Transaction Type 'B' Gift, Grant, or Capital Contribution to related Organizations: American College of Healthcare Executives made contributions to Foundation of American College of Healthcare Executives. Transaction Type 'P' Reimbursement paid by other organizations for expenses. American College of Healthcare Executives allocates costs for shared facilities and equipment to Foundation of the American College of Healthcare Executives. The valuation of such costs is based on actual expense amounts, which are then allocated on a basis consistent with that utilized for shared employees providing support for Foundation of the American College of Healthcare Executives' programs. American College of Healthcare Executives allows Foundation of the American College of Healthcare Executives utilization of the shared services and employees of ACHE. The valuation of those services is based on the time provided by those employees who engage in the activities necessary to support Foundation of the American College of Healthcare Executives' programs. Transaction Type 'Q' Other transfer of cash or property to other organization(s) As noted within this return, American College of Healthcare Executives is reimbursed by the Foundation of the American College of Healthcare Executives for expenses paid on its behalf and remits receipts collected for Foundation of the American College of Healthcare Executives' benefit. To facilitate the administrative processes associated with these activities, American College of Healthcare Executives and Foundation of The American College of Healthcare Executives have established an intercompany account between the two entities, allowing for the accurate processing of these transactions in a cost-effective manner.</Explanation>
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    </IRS990ScheduleR>
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