﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2010v3.4">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2012-03-06T06:19:45-06:00</Timestamp>
    <TaxPeriodEndDate>2011-08-31</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>CLIFTONLARSONALLEN LLP</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>2900 SOUTH QUINCY ST SUITE 150</AddressLine1>
        <City>ARLINGTON</City>
        <State>VA</State>
        <ZIPCode>22206</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2010-09-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>366000057</EIN>
      <Name>
        <BusinessNameLine1>AMERICAN BOARD OF ORTHOPAEDIC SURGERY</BusinessNameLine1>
      </Name>
      <NameControl>AMER</NameControl>
      <Phone>9199297103</Phone>
      <USAddress>
        <AddressLine1>400 SILVER CEDAR COURT</AddressLine1>
        <City>CHAPEL HILL</City>
        <State>NC</State>
        <ZIPCode>27514</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>SHEPARD HURWITZ MD</Name>
      <Title>EXECUTIVE DIRECTOR</Title>
      <Phone>9199297103</Phone>
      <DateSigned>2012-03-06</DateSigned>
      <AuthorizeThirdParty>1</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Phone>7039985100</Phone>
    </Preparer>
    <TaxYear>2010</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="4">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <NameOfPrincipalOfficerPerson>SHEPARD HURWITZ MD</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>400 SILVER CEDAR COURT</AddressLine1>
        <City>CHAPEL HILL</City>
        <State>NC</State>
        <ZIPCode>27514</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>15697213</GrossReceipts>
      <GroupReturnForAffiliates>0</GroupReturnForAffiliates>
      <Organization501c typeOf501cOrganization="6">X</Organization501c>
      <WebSite>WWW.ABOS.ORG</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1934</YearFormation>
      <StateLegalDomicile>DE</StateLegalDomicile>
      <ActivityOrMissionDescription>THE ORGANIZATION EXISTS TO SERVE THE BEST INTERESTS OF THE PUBLIC AND OF THE MEDICAL PROFESSION BY ESTABLISHING EDUCATIONAL STANDARDS FOR ORTHOPAEDIC RESIDENTS AND BY EVALUATING THE INITIAL AND CONTINUING QUALIFICATIONS AND COMPETENCE OF ORTHOPAEDIC SURGEONS.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>19</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>19</NbrIndependentVotingMembers>
      <TotalNbrEmployees>10</TotalNbrEmployees>
      <TotalNbrVolunteers>293</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>0</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>0</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>5334194</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>5873296</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>445085</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>2451681</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>204757</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>187899</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>5984036</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>8512876</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>0</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>1345979</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>1402230</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>3930034</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>4626830</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>5276013</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>6029060</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>708023</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>2483816</RevenuesLessExpensesCY>
      <TotalAssetsBOY>22790504</TotalAssetsBOY>
      <TotalAssetsEOY>24861717</TotalAssetsEOY>
      <TotalLiabilitiesBOY>2059793</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>1536803</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>20730711</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>23324914</NetAssetsOrFundBalancesEOY>
      <MissionDescription>THE ORGANIZATION EXISTS TO SERVE THE BEST INTERESTS OF THE PUBLIC AND OF THE MEDICAL PROFESSION BY ESTABLISHING EDUCATIONAL STANDARDS FOR ORTHOPAEDIC RESIDENTS AND BY EVALUATING THE INITIAL AND CONTINUING QUALIFICATIONS AND COMPETENCE OF ORTHOPAEDIC SURGEONS.</MissionDescription>
      <SignificantNewProgramServices>0</SignificantNewProgramServices>
      <SignificantChange>0</SignificantChange>
      <Description>INITIAL CERTIFICATION OF ORTHOPAEDIC SURGERONSEDUCATIONAL REQUIREMENTS, PEER REVIEW, A WRITTEN EXAM AND AN ORAL EXAM ARE REQUIRED TO BECOME BOARD CERTIFIED.</Description>
      <Activity2>
        <Description>RECERTIFICATION OF BOARD CERTIFICATIONEVERY 10 YEARS DIPLOMATES MUST MEET ADDITIONAL EDUCATIONAL REQUIREMENTS, PEER REVIEW AND AN EXAM TO RECERTIFY.</Description>
      </Activity2>
      <DescribedIn501C3>0</DescribedIn501C3>
      <ScheduleBRequired>0</ScheduleBRequired>
      <PoliticalActivities>0</PoliticalActivities>
      <SubjectToProxyTax>0</SubjectToProxyTax>
      <DonorAdvisedFunds referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="RetDoc1040000001">0</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="RetDoc1040000001">0</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="RetDoc1040000001">0</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="RetDoc1040000001">0</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="RetDoc1040000001">1</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="RetDoc1040000001">0</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="RetDoc1040000001">0</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="RetDoc1040000001">0</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="RetDoc1040000001">1</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="RetDoc1040000001">1</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="RetDoc1040000001">0</ConsolidatedAuditFinancialStmt>
      <School>0</School>
      <ForeignOffice>0</ForeignOffice>
      <ForeignActivities>0</ForeignActivities>
      <MoreThan5000KToOrganizations>0</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>0</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>0</ProfessionalFundraising>
      <FundraisingActivities>0</FundraisingActivities>
      <Gaming>0</Gaming>
      <Hospital>0</Hospital>
      <GrantsToOrganizations>0</GrantsToOrganizations>
      <GrantsToIndividuals>0</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="RetDoc1042400001">1</ScheduleJRequired>
      <TaxExemptBonds>0</TaxExemptBonds>
      <LoanToOfficerOrDQP>0</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>0</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>0</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>0</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>0</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>0</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>0</DeductibleContributionsOfArt>
      <Terminated>0</Terminated>
      <PartialLiquidation>0</PartialLiquidation>
      <DisregardedEntity>0</DisregardedEntity>
      <RelatedEntity>0</RelatedEntity>
      <RelatedOrgControlledEntity>0</RelatedOrgControlledEntity>
      <TransactionRelatedEntity>0</TransactionRelatedEntity>
      <ActivitiesConductedPartnership>0</ActivitiesConductedPartnership>
      <ScheduleORequired>1</ScheduleORequired>
      <NumberFormsTransmittedWith1096>48</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <NumberOfEmployees>10</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>1</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>0</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>0</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>0</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>0</TaxablePartyNotification>
      <NonDeductibleContributions>0</NonDeductibleContributions>
      <IndoorTanningServices>0</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>19</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>19</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>0</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>0</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>0</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>0</MaterialDiversionOrMisuse>
      <MembersOrStockholders>0</MembersOrStockholders>
      <ElectionOfBoardMembers>0</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>0</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>1</MinutesOfGoverningBody>
      <MinutesOfCommittees>1</MinutesOfCommittees>
      <OfficerMailingAddress>1</OfficerMailingAddress>
      <LocalChapters>0</LocalChapters>
      <Form990ProvidedToGoverningBody>1</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>1</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>1</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>1</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>0</WhistleblowerPolicy>
      <DocumentRetentionPolicy>0</DocumentRetentionPolicy>
      <CompensationProcessCEO>1</CompensationProcessCEO>
      <CompensationProcessOther>0</CompensationProcessOther>
      <InvestmentInJointVenture>0</InvestmentInJointVenture>
      <StatesWhereCopyOfReturnIsFiled>NC</StatesWhereCopyOfReturnIsFiled>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NameBusiness>
          <BusinessNameLine1>THE ORGANIZATION</BusinessNameLine1>
        </NameBusiness>
        <TelephoneNumber>9199297103</TelephoneNumber>
        <AddressUS>
          <AddressLine1>400 SILVER CEDAR COURT</AddressLine1>
          <City>CHAPEL HILL</City>
          <State>NC</State>
          <ZIPCode>27514</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>HARRY N HERKOWITZ MD</NamePerson>
        <Title>SENIOR DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JEFFREY O ANGLEN MD</NamePerson>
        <Title>SENIOR DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JAMES R KASSER MD</NamePerson>
        <Title>PRESIDENT</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DAVID F MARTIN MD</NamePerson>
        <Title>PRESIDENT-ELECT</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>TERRY L THOMPSON MD</NamePerson>
        <Title>SECRETARY</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SANFORD E EMERY MD MBA</NamePerson>
        <Title>TREASURER</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>STEPHEN A ALBANESE MD</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ANNUNZIATO AMENDOLA MD</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JUDITH F BAUMHAUER MD</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MICHELLE A JAMES MD</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>REGIS J O'KEEFE MD</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOHN H ERBLAND</NamePerson>
        <Title>PUBLIC MEMBER DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CHRISTOPHER D HARNER MD</NamePerson>
        <Title>SENIOR DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARYBETH EZAKI</NamePerson>
        <Title>SENIOR DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RANDALL E MARCUS MD</NamePerson>
        <Title>SENIOR DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOHN G SEILER III MD</NamePerson>
        <Title>SENIOR DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JAMES N WEINSTEIN DO MS</NamePerson>
        <Title>SENIOR DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SHEPARD R HURWITZ MD</NamePerson>
        <Title>EXECUTIVE DIRECTOR</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>419758</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>87769</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>J LAWRENCE MARSH MD</NamePerson>
        <Title>DIRECTOR-ELECT</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>THOMAS P VAIL MD</NamePerson>
        <Title>DIRECTOR-ELECT</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JAMES E CARPENTER MD NON-VOTING</NamePerson>
        <Title>DIRECTOR - ELECT</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JAMES R ROBERSON MD NON-VOTING</NamePerson>
        <Title>DIRECTOR - ELECT</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>419758</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>87769</TotalOtherCompensation>
      <NumberIndividualsGT100K>1</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>NATIONAL BOARD OF MEDICAL EXAMINERS</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>3750 MARKET STREET</AddressLine1>
            <City>PHILADELPHIA</City>
            <State>PA</State>
            <ZIPCode>19104</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>EXAM EXPERTISE</DescriptionOfServices>
        <Compensation>915995</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>WEB DATA</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>930 YORK RD SUITE 102</AddressLine1>
            <City>HINSDALE</City>
            <State>IL</State>
            <ZIPCode>60521</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>COMPUTER SOFTWARE DEVELPMENT AND TECHNOL</DescriptionOfServices>
        <Compensation>490264</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>AMERICAN BOARD OF MEDICAL SPECIALTIES</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>222 N LASALLE ST SUITE 1500</AddressLine1>
            <City>CHICAGO</City>
            <State>IL</State>
            <ZIPCode>60601</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PROFESSIONAL BOARD</DescriptionOfServices>
        <Compensation>205175</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>VEDDER PRICE</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>222 NORTH LASALLE ST</AddressLine1>
            <City>CHICAGO</City>
            <State>IL</State>
            <ZIPCode>60601</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>LEGAL COUNSEL</DescriptionOfServices>
        <Compensation>158123</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>NORTHEAST</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>100 HIGH STREET</AddressLine1>
            <City>BOSTON</City>
            <State>MA</State>
            <ZIPCode>021102301</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>INVESTMENT FEES</DescriptionOfServices>
        <Compensation>119451</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>5</NumberOfContractorsGT100K>
      <ProgramServiceRevenue>
        <Description>EXAMS AND APPLICATION</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>5823995</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>5823995</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>OTHER</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>29865</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>29865</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>BROCHURES</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>14221</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>14221</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>VERIFICATION LETTERS</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>5215</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>5215</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>5873296</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>395093</TotalRevenueColumn>
        <ExclusionAmount>395093</ExclusionAmount>
      </InvestmentIncome>
      <GrossRents>
        <Real>187899</Real>
      </GrossRents>
      <RentalIncomeOrLoss>
        <Real>187899</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>187899</TotalRevenueColumn>
        <ExclusionAmount>187899</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>9237314</Securities>
        <Other>3611</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>7175083</Securities>
        <Other>9254</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>2062231</Securities>
        <Other>-5643</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>2056588</TotalRevenueColumn>
        <ExclusionAmount>2056588</ExclusionAmount>
      </NetGainOrLossInvestments>
      <TotalRevenue>
        <TotalRevenueColumn>8512876</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>5873296</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>2639580</ExclusionAmount>
      </TotalRevenue>
      <CompCurrentOfficersDirectors>
        <Total>520824</Total>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>483387</Total>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>122376</Total>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>200654</Total>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>74989</Total>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>158123</Total>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>30229</Total>
      </FeesForServicesAccounting>
      <FeesForServicesInvstMgmntFees>
        <Total>139972</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>385208</Total>
      </FeesForServicesOther>
      <OfficeExpenses>
        <Total>281969</Total>
      </OfficeExpenses>
      <Occupancy>
        <Total>37156</Total>
      </Occupancy>
      <Travel>
        <Total>121185</Total>
      </Travel>
      <ConferencesMeetings>
        <Total>953564</Total>
      </ConferencesMeetings>
      <DepreciationDepletion>
        <Total>172488</Total>
      </DepreciationDepletion>
      <Insurance>
        <Total>83200</Total>
      </Insurance>
      <OtherExpenses>
        <Description>NBME CONTRACT</Description>
        <Total>915995</Total>
      </OtherExpenses>
      <OtherExpenses>
        <Description>SITE EXPENSE</Description>
        <Total>306526</Total>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EXAMINERS</Description>
        <Total>289986</Total>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DUES - ABMS</Description>
        <Total>205175</Total>
      </OtherExpenses>
      <OtherExpenses>
        <Description>SCRIBE SUPPORT</Description>
        <Total>179125</Total>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>366929</Total>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>6029060</Total>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>2168463</BOY>
        <EOY>2755042</EOY>
      </CashNonInterestBearing>
      <InventoriesForSaleOrUse>
        <BOY>21636</BOY>
        <EOY>2112</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>467368</BOY>
        <EOY>321365</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>4094300</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>2138053</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>1736588</BOY>
        <EOY>1956247</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>18052948</BOY>
        <EOY>19714227</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>312384</BOY>
        <EOY>48429</EOY>
      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>31117</BOY>
        <EOY>64295</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>22790504</BOY>
        <EOY>24861717</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1004740</BOY>
        <EOY>763099</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>714650</BOY>
        <EOY>721950</EOY>
      </DeferredRevenue>
      <MortNotesPyblSecuredInvestProp>
        <BOY>5439</BOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>334964</BOY>
        <EOY>51754</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>2059793</BOY>
        <EOY>1536803</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>20730711</BOY>
        <EOY>23324914</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>20730711</BOY>
        <EOY>23324914</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>22790504</BOY>
        <EOY>24861717</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>2483816</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>110387</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <Land>
        <OtherCostOrOtherBasis>235412</OtherCostOrOtherBasis>
        <BookValue>235412</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>2389958</OtherCostOrOtherBasis>
        <Depreciation>1223113</Depreciation>
        <BookValue>1166845</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>548293</OtherCostOrOtherBasis>
        <Depreciation>174882</Depreciation>
        <BookValue>373411</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>920637</OtherCostOrOtherBasis>
        <Depreciation>740058</Depreciation>
        <BookValue>180579</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>1956247</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>DEPOSITS</Description>
        <Amount>3325</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DEFERRED COMPENSATION</Description>
        <Amount>48429</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>51754</TotalOfAmounts>
      <TotalRevenue>8512876</TotalRevenue>
      <TotalExpenses>6029060</TotalExpenses>
      <ExcessOrDeficitForYear>2483816</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>110387</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>110387</TotalAdjustments>
      <ExcessOrDeficitPerFS>2594203</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>13121291</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>110387</NetUnrealizedGainsInvestments>
      <DonatedSrvcAndUseOfFacilities>4638000</DonatedSrvcAndUseOfFacilities>
      <RevenueNotRptdF990>4748387</RevenueNotRptdF990>
      <RevenueSubtotal>8372904</RevenueSubtotal>
      <InvestmentExpensesNotIncluded>139972</InvestmentExpensesNotIncluded>
      <RevenueNotRptdOnFinStmt>139972</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>8512876</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>10527088</TotExpensesEtcAuditedFinclStmt>
      <DonatedServicesUseOfFacilities>4638000</DonatedServicesUseOfFacilities>
      <ExpensesNotRptdF990>4638000</ExpensesNotRptdF990>
      <ExpensesSubtotal>5889088</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>139972</InvestmentExpensesNotIncluded2>
      <ExpensesNotRptdOnFinStmt>139972</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>6029060</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>THE ORGANIZATION ADOPTED A POLICY THAT CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE POLICY PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PRINCIPLES FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE RECOGNIZED. THE IMPLEMENTATION OF THIS POLICY HAD NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. THE TAX RETURNS FOR THE FISCAL YEARS ENDED 2008 THROUGH 2010 ARE OPEN TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <FirstClassOrCharterTravel>X</FirstClassOrCharterTravel>
      <TravelForCompanions>X</TravelForCompanions>
      <IdemnificationGrossUpPayments>X</IdemnificationGrossUpPayments>
      <WrittenPolicyReTAndEExpenses>1</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>1</SubstantiationRequired>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <Form990ScheduleJPartII>
        <NamePerson>SHEPARD R HURWITZ MD</NamePerson>
        <BaseCompensationFilingOrg>381500</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>18000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>20258</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>57250</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>30519</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>507527</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 1A</ReturnReference>
        <Explanation>AMERICAN BOARD OF ORTHOPAEDIC SURGERY PROVIDED TRAVEL EXPENSE FOR WIVES/HUSBANDS OF THE DIRECTORS: STEPHEN ALBANESE, MD - $1,989 JEFFREY ANGLEN, MD - $1,263 JUDITH BAUMHAUER, MD - $2,102 JAMES E. CARPENTER, MD - $2,556 SANFORD EMERY, MD - $1,380 MARYBETH EZAKI, MD - $1,008 CHRISTOPHER HARNER - $3,984 MICHELLE JAMES - $1,526 RANDALL E. MARCUS, MD - $4,045 J. L. MARSH, MD - $2,911 JAMES R. ROBERSON, MD - $1,332 DAVID MARTIN, MD - $1,389 JOHN SEILER, MD - $1,313 THOMAS VAIL, MD - $1,631 THE AMOUNTS WERE TAXABLE TO THE DIRECTORS.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 4B</ReturnReference>
        <Explanation>G. PAUL DEROSA, MD - $200,000</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>990 WILL BE EMAILED TO THE FINANCE COMMITTEE FOR REVIEW AND APPROVAL</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>CONFLICT FORMS WITH WRITTEN RESPONSES THAT THE EXECUTIVE DIRECTOR REVIEWS. IF ANY THRESHOLD IS REACHED THE ISSUE IS BROUGHT BEFORE THE ENTIRE BOARD FOR ACTION WHICH MAY INCLUDE ADVERSE ACTION OR REMOVAL FROM BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15A</ReturnReference>
        <Explanation>WHEN DR. HURWITZ WAS HIRED AN OUTSIDE EMPLOYMENT AGENCY WAS HIRED TO HELP IN THE PROCESS. HIS CONTRACT SALARY AND BENEFITS REFLECT THIS NEGOTIATION. THE EXECUTIVE COMMITTEE OF THE AMERICAN BOARD OF ORTHOPAEDIC SURGERY DETERMINES THE % OF SALARY ADJUSTMENT EACH YEAR AND BONUS BASED ON A REVIEW THEY CONDUCT. 2011 FYE HURWITZ RAISE WAS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC:</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 9</ReturnReference>
        <Explanation>HARRY N HERKOWITZ, MD, SENIOR DIRECTOR - 3535 WEST THIRTEEN MILE RD, ROYAL OAK, MI 48073 JAMES R. KASSER, MD, PRESIDENT - 300 LONGWOOD AVE, BOSTON, MA 02115 DAVID F. MARTIN, MD PRESIDENT-ELECT 131 MILLER STREET, WINSTON SALEM, NC 27103 SANFORD E. EMERY, MD, TREASURER - PO BOX 9196 DEPT OF ORTHOPAEDICS MORGANTOWN, WV 26506-9196</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED GAINS ON INVESTMENTS: 110,387.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>