﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2011v1.2" xsi:schemaLocation="http://www.irs.gov/efile">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2012-10-12T10:49:04-07:00</Timestamp>
    <TaxPeriodEndDate>2011-12-31</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>EMERGENCY CARE RESEARCH INSTITUTE</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>5200 BUTLER PIKE</AddressLine1>
        <City>PLYMOUTH MEETING</City>
        <State>PA</State>
        <ZIPCode>194621203</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2011-01-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>231662091</EIN>
      <Name>
        <BusinessNameLine1>EMERGENCY CARE RESEARCH INSTITUTE</BusinessNameLine1>
      </Name>
      <NameControl>EMER</NameControl>
      <Phone>6108256000</Phone>
      <USAddress>
        <AddressLine1>5200 BUTLER PIKE</AddressLine1>
        <City>PLYMOUTH MEETING</City>
        <State>PA</State>
        <ZIPCode>19462</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>G DANIEL DOWNING</Name>
      <Title>VICE PRESIDENT</Title>
      <Phone>6108256000</Phone>
      <DateSigned>2012-10-09</DateSigned>
    </Officer>
    <TaxYear>2011</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="7">
    <IRS990 documentId="00000001" referenceDocumentName="IRS990ScheduleO ReasonableCauseExplanation" softwareId="11000175">
      <NameOfPrincipalOfficerBusiness>
        <BusinessNameLine1>JEFFREY LERNER</BusinessNameLine1>
      </NameOfPrincipalOfficerBusiness>
      <AddressPrincipalOfficerUS>
        <AddressLine1>5200 BUTLER PIKE</AddressLine1>
        <City>PLYMOUTH MEETING</City>
        <State>PA</State>
        <ZIPCode>19462</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>50205054</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>ECRI.ORG</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1955</YearFormation>
      <StateLegalDomicile>PA</StateLegalDomicile>
      <ActivityOrMissionDescription>The Institute is organized exclusively for charitable, scientific, and educational purposes within the meaning of IRC Section 501(c)(3). The Institute's mission is to improve the safety, quality and cost-effectiveness of healthcare and to protect the public from harm. The Institute's mission is accomplished through its publishing, membership and information programs, technical assistance and consultation programs, and educational programs.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>12</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>10</NbrIndependentVotingMembers>
      <TotalNbrEmployees>382</TotalNbrEmployees>
      <TotalNbrVolunteers>50</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <ContributionsGrantsPriorYear>163694</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>73306</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>42964560</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>50119117</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>9498</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>12631</InvestmentIncomeCurrentYear>
      <OtherRevenueCurrentYear>0</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>43137752</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>50205054</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>29003785</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>32623163</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>80224</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>13235777</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>14505952</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>42239562</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>47129115</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>898190</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>3075939</RevenuesLessExpensesCY>
      <TotalAssetsBOY>35504918</TotalAssetsBOY>
      <TotalAssetsEOY>38880864</TotalAssetsEOY>
      <TotalLiabilitiesBOY>20921162</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>22691586</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>14583756</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>16189278</NetAssetsOrFundBalancesEOY>
      <InfoInScheduleOPartIII>X</InfoInScheduleOPartIII>
      <MissionDescription>The Institute is organized exclusively for charitable, scientific, and educational purposes within the</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Expense>17169036</Expense>
      <Revenue>26822600</Revenue>
      <Description>THE INSTITUTE'S PUBLICATION, MEMBERSHIP AND INFORMATION PROGRAMS INVOLVE CONDUCTING STUDIES AND DISSEMINATING INFORMATION AND TOOLS THAT IDENTIFY, DEVELOP, ASSESS, AND VERIFY EVIDENCE ABOUT THE QUALITY, SAFETY, AND COST EFFECTIVENESS OF HEALTHCARE TECHNOLOGIES, PRACTICES, AND FACILITIES; DISSEMINATING INFORMATION, JUDGMENT, GUIDANCE, AND RESEARCH CONCLUSIONS TO PROTECT THE PUBLIC FROM UNSAFE AND INEFFECTIVE MEDICAL TECHNOLOGIES AND UNSAFE PRACTICES; IMPROVING PATIENT SAFETY BY PREVENTING MEDICAL ERRORS, PATIENT ACCIDENTS, INJURIES, AND DEATH; ASSESSING AND DISSEMINATING INFORMATION ON THE EFFECTIVENESS OF DRUGS, MEDICAL DEVICES, PROCEDURES AND PRACTICES; COLLECTING, ORGANIZING, AND DISSEMINATING OBJECTIVE, TECHNICALLY ACCURATE INFORMATION THAT PREVENTS INJURY AND ILLNESS AND BENEFITS PATIENT CARE.</Description>
      <Activity2>
        <Expense>15783419</Expense>
        <Revenue>22396332</Revenue>
        <Description>THE INSTITUTE'S TECHNICAL ASSISTANCE PROGRAMS INCLUDE PROVIDING INFORMATION, TOOLS AND SUPPORT FOR THE BUYERS AND USERS OF HEALTHCARE TECHNOLOGY, AND SERVICES THAT MAKE INFORMED DECISION MAKING POSSIBLE; DEVELOPING AND MAINTAINING A WORLDWIDE CLASSIFICATION SYSTEM FOR INDEXING MEDICAL DEVICES; INVESTIGATING AND ANALYZING ACCIDENTS AND EVENTS INVOLVING PATIENT SAFETY; PROVIDING ASSESSMENT AND EVALUATION OF HEALTHCARE SAFETY AND QUALITY; PROVIDING EVIDENCE-BASED RESEARCH AND EFFECTIVENESS REPORTS</Description>
      </Activity2>
      <Activity3>
        <Expense>1108845</Expense>
        <Revenue>900185</Revenue>
        <Description>THE INSTITUTE'S EDUCATIONAL PROGRAMS, SEMINARS AND SYMPOSIA ADDRESS CURRENT AND EMERGING ISSUES IN HEALTHCARE WITH A FOCUS ON EVIDENCE-BASED RESEARCH; PROVIDE PROFESSIONAL EDUCATION AND TRAINING FOR SAFETY AND ENVIRONMENTAL MANAGERS; PROVIDE METHODS FOR IMPROVING PATIENT SAFETY AND HEALTHCARE QUALITY; DISSEMINATE EVIDENCE ABOUT THE QUALITY, SAFETY, AND COST EFFECTIVENESS OF HEALTHCARE TECHNOLOGIES, PRACTICES, AND FACILITIES. THE INSTITUTE MAKES EVIDENCE-BASED INFORMATION AVAILABLE TO PATIENTS AN</Description>
      </Activity3>
      <TotalProgramServiceExpense>34061300</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="00000002" referenceDocumentName="IRS990ScheduleA">true</DescribedIn501C3>
      <ScheduleBRequired>false</ScheduleBRequired>
      <PoliticalActivities>false</PoliticalActivities>
      <LobbyingActivities>false</LobbyingActivities>
      <DonorAdvisedFunds>false</DonorAdvisedFunds>
      <ConservationEasements>false</ConservationEasements>
      <CollectionsOfArt>false</CollectionsOfArt>
      <CreditCounseling>false</CreditCounseling>
      <TermOrPermanentEndowments>false</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="00000003" referenceDocumentName="IRS990ScheduleD">true</ReportLandBldgEquip>
      <ReportInvestOthSecurities>false</ReportInvestOthSecurities>
      <ReportProgRelInvest>false</ReportProgRelInvest>
      <ReportOtherAssets>false</ReportOtherAssets>
      <ReportOtherLiabilities>false</ReportOtherLiabilities>
      <ReportFin48Footnote>false</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="00000003" referenceDocumentName="IRS990ScheduleD">true</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt>false</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>true</ForeignOffice>
      <ForeignActivities referenceDocumentId="00000004" referenceDocumentName="IRS990ScheduleF">true</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>false</ProfessionalFundraising>
      <FundraisingActivities>false</FundraisingActivities>
      <Gaming>false</Gaming>
      <Hospital>false</Hospital>
      <GrantsToOrganizations>false</GrantsToOrganizations>
      <GrantsToIndividuals>false</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="00000005" referenceDocumentName="IRS990ScheduleJ">true</ScheduleJRequired>
      <TaxExemptBonds>false</TaxExemptBonds>
      <ExcessBenefitTransaction>false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>false</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>false</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>false</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>false</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity>false</DisregardedEntity>
      <RelatedEntity referenceDocumentId="00000007" referenceDocumentName="IRS990ScheduleR">true</RelatedEntity>
      <RelatedOrgControlledEntity>true</RelatedOrgControlledEntity>
      <TransactionRelatedEntity referenceDocumentId="00000007" referenceDocumentName="IRS990ScheduleR">true</TransactionRelatedEntity>
      <ActivitiesConductedPartnership>false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>151</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>true</ComplianceWithBackupWitholding>
      <NumberOfEmployees>382</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>true</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>false</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>true</ForeignFinancialAccount>
      <NameOfForeignCountry>UK</NameOfForeignCountry>
      <NameOfForeignCountry>MY</NameOfForeignCountry>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <QuidProQuoContributions>false</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>false</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>false</FundsToPayPremiums>
      <PremiumsPaid>false</PremiumsPaid>
      <IndoorTanningServices>false</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>12</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>10</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>false</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>false</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>false</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>false</MembersOrStockholders>
      <ElectionOfBoardMembers>false</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>false</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>true</MinutesOfCommittees>
      <OfficerMailingAddress>false</OfficerMailingAddress>
      <LocalChapters>true</LocalChapters>
      <PoliciesReferenceChapters>true</PoliciesReferenceChapters>
      <Form990ProvidedToGoverningBody>true</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>true</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>true</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>true</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>true</WhistleblowerPolicy>
      <DocumentRetentionPolicy>true</DocumentRetentionPolicy>
      <CompensationProcessCEO>true</CompensationProcessCEO>
      <CompensationProcessOther>true</CompensationProcessOther>
      <InvestmentInJointVenture>false</InvestmentInJointVenture>
      <StatesWhereCopyOfReturnIsFiled>PA</StatesWhereCopyOfReturnIsFiled>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NameBusiness>
          <BusinessNameLine1>G DANIEL DOWNING</BusinessNameLine1>
        </NameBusiness>
        <TelephoneNumber>6108256000</TelephoneNumber>
        <AddressUS>
          <AddressLine1>5200 BUTLER PIKE</AddressLine1>
          <City>PLYMOUTH MEETING</City>
          <State>PA</State>
          <ZIPCode>19462</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <InfoInScheduleOPartVII>X</InfoInScheduleOPartVII>
      <Form990PartVIISectionA>
        <NamePerson>JOHN REISS</NamePerson>
        <Title>Chair</Title>
        <AverageHoursPerWeek>3.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SHERYL BURT RUZEK</NamePerson>
        <Title>Trustee/Vice-Chair, Secretary</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>W DAVID WEBB</NamePerson>
        <Title>Trustee/ Treasurer</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ROBERT CRANE</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DANIEL FOX</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RICHARD GWYNN</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GORDON HUNT</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CLARION JOHNSON</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JEFFREY LERNER SEE SCH O</NamePerson>
        <Title>President and CEO/Trustee</Title>
        <AverageHoursPerWeek>55.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>704540</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>8850</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PAUL MALESON</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>J SANFORD SCHWARTZ</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ANTHONY VINCENT</NamePerson>
        <Title>Trustee/ Facilities Director</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>120746</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>21570</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ANTHONY MONTAGNOLOSEE SCH O</NamePerson>
        <Title>EVP and COO</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>343613</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>28959</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RONNI SOLOMONSEE SCH O</NamePerson>
        <Title>EVP &amp; General Counsel/ Asst Secretary</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>388924</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>28459</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>G DANIEL DOWNING</NamePerson>
        <Title>VP of Finance/ Asst Treasurer</Title>
        <AverageHoursPerWeek>50</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>228953</ReportableCompFromOrganization>
        <OtherCompensation>24499</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>VIVIAN COATES</NamePerson>
        <Title>VP- Technology Assessment Program</Title>
        <AverageHoursPerWeek>50</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>226083</ReportableCompFromOrganization>
        <OtherCompensation>9188</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JENNIFER MYERS</NamePerson>
        <Title>VP- Select Program</Title>
        <AverageHoursPerWeek>45</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>184581</ReportableCompFromOrganization>
        <OtherCompensation>12498</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GLEN HALL</NamePerson>
        <Title>VP of Sales</Title>
        <AverageHoursPerWeek>45</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>246713</ReportableCompFromOrganization>
        <OtherCompensation>27483</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>STEVE FERENS</NamePerson>
        <Title>Area VP North and West, Sales</Title>
        <AverageHoursPerWeek>55</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>216535</ReportableCompFromOrganization>
        <OtherCompensation>18516</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KAREN SCHOELLES</NamePerson>
        <Title>Medical Director- HTAIS Program</Title>
        <AverageHoursPerWeek>45</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>189873</ReportableCompFromOrganization>
        <OtherCompensation>13196</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOEL NOBEL</NamePerson>
        <Title>Director of International/ ME</Title>
        <AverageHoursPerWeek>45</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>172132</ReportableCompFromOrganization>
        <OtherCompensation>18137</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARK BRULEY</NamePerson>
        <Title>VP, Accident and Forensic Investigation</Title>
        <AverageHoursPerWeek>45</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>171337</ReportableCompFromOrganization>
        <OtherCompensation>26740</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>3194030</TotalReportableCompFromOrg>
      <TotalOtherCompensation>238095</TotalOtherCompensation>
      <NumberIndividualsGT100K>62</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>THE LEWIN GROUP</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>3130 FAIRVIEW PARK DRIVE SUITE 500</AddressLine1>
            <City>FALLS CHURCH</City>
            <State>VA</State>
            <ZIPCode>22042</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Information Systems</DescriptionOfServices>
        <Compensation>1601166</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>HP ENTERPRISE SERVICES LLC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>5400 LEGACY DRIVE</AddressLine1>
            <City>PLANO</City>
            <State>TX</State>
            <ZIPCode>75024</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Information Systems</DescriptionOfServices>
        <Compensation>1169859</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>INSTITUTE FOR SAFE MEDICATION</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>200 LAKESIDE DRIVE SUITE 200200 LAK</AddressLine1>
            <City>HORSHAM</City>
            <State>PA</State>
            <ZIPCode>19044</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Healthcare Technology</DescriptionOfServices>
        <Compensation>416440</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>CHESAPEAKE REGION SAFETY COUNCIL INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>17 GOVERNORS COURT</AddressLine1>
            <City>BALTIMORE</City>
            <State>MD</State>
            <ZIPCode>21244</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Educational Services</DescriptionOfServices>
        <Compensation>307636</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>MCGLADREY LLP</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>5155 PAYSPHERE CIRCLE</AddressLine1>
            <City>CHICAGO</City>
            <State>IL</State>
            <ZIPCode>60674</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Consulting/ Auditing</DescriptionOfServices>
        <Compensation>303402</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>17</NumberOfContractorsGT100K>
      <GovernmentGrants>73306</GovernmentGrants>
      <TotalContributions>73306</TotalContributions>
      <ProgramServiceRevenue>
        <Description>MEMBERSHIP, PUBLICATIONS AND INFORMATION</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>26822600</TotalRevenueColumn>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>TECHNICAL ASSISTANCE</Description>
        <BusinessCode>541900</BusinessCode>
        <TotalRevenueColumn>22396332</TotalRevenueColumn>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>EDUCATIONAL PROGRAMS</Description>
        <BusinessCode>611710</BusinessCode>
        <TotalRevenueColumn>900185</TotalRevenueColumn>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>50119117</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>12631</TotalRevenueColumn>
      </InvestmentIncome>
      <TotalRevenue>
        <TotalRevenueColumn>50205054</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>50131748</RelatedOrExemptFunctionIncome>
      </TotalRevenue>
      <CompCurrentOfficersDirectors>
        <Total>3219254</Total>
        <ProgramServices>1585037</ProgramServices>
        <ManagementAndGeneral>1587054</ManagementAndGeneral>
        <Fundraising>47163</Fundraising>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>23032050</Total>
        <ProgramServices>17924659</ProgramServices>
        <ManagementAndGeneral>5107391</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>2372816</Total>
        <ProgramServices>1763452</ProgramServices>
        <ManagementAndGeneral>605101</ManagementAndGeneral>
        <Fundraising>4263</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>2249749</Total>
        <ProgramServices>1671990</ProgramServices>
        <ManagementAndGeneral>573717</ManagementAndGeneral>
        <Fundraising>4042</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>1749294</Total>
        <ProgramServices>1300057</ProgramServices>
        <ManagementAndGeneral>446094</ManagementAndGeneral>
        <Fundraising>3143</Fundraising>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>16470</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>16470</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>57000</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>57000</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>8129965</Total>
        <ProgramServices>7584620</ProgramServices>
        <ManagementAndGeneral>545345</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>289536</Total>
        <ProgramServices>70847</ProgramServices>
        <ManagementAndGeneral>218689</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Advertising>
      <InformationTechnology>
        <Total>822626</Total>
        <ProgramServices>621274</ProgramServices>
        <ManagementAndGeneral>201352</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </InformationTechnology>
      <Occupancy>
        <Total>586223</Total>
        <ProgramServices>3235</ProgramServices>
        <ManagementAndGeneral>582988</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Occupancy>
      <Travel>
        <Total>1474666</Total>
        <ProgramServices>856161</ProgramServices>
        <ManagementAndGeneral>618505</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Travel>
      <ConferencesMeetings>
        <Total>26779</Total>
        <ProgramServices>2540</ProgramServices>
        <ManagementAndGeneral>24239</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </ConferencesMeetings>
      <Interest>
        <Total>41280</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>41280</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Interest>
      <DepreciationDepletion>
        <Total>1184225</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>1184225</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>361270</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>361270</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Insurance>
      <OtherExpenses>
        <Description>LIBRARY AND INFORMATION</Description>
        <Total>309628</Total>
        <ProgramServices>232528</ProgramServices>
        <ManagementAndGeneral>77100</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MAILING AND SHIPPING</Description>
        <Total>99495</Total>
        <ProgramServices>82049</ProgramServices>
        <ManagementAndGeneral>17446</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>TELEPHONE/ DATA</Description>
        <Total>244062</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>244062</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PRODUCTION COSTS</Description>
        <Total>564041</Total>
        <ProgramServices>339277</ProgramServices>
        <ManagementAndGeneral>224764</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>298686</Total>
        <ProgramServices>23574</ProgramServices>
        <ManagementAndGeneral>253499</ManagementAndGeneral>
        <Fundraising>21613</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>47129115</Total>
        <ProgramServices>34061300</ProgramServices>
        <ManagementAndGeneral>12987591</ManagementAndGeneral>
        <Fundraising>80224</Fundraising>
      </TotalFunctionalExpenses>
      <SavingsAndTempCashInvestments>
        <BOY>3158742</BOY>
        <EOY>3915564</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>8966785</BOY>
        <EOY>10973147</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>1931583</BOY>
        <EOY>1887583</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>20219220</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>14874886</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>5241013</BOY>
        <EOY>5344334</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>15543249</BOY>
        <EOY>16072832</EOY>
      </InvestmentsPubTradedSecurities>
      <OtherAssetsTotal>
        <BOY>663546</BOY>
        <EOY>687404</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>35504918</BOY>
        <EOY>38880864</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>3867037</BOY>
        <EOY>4496765</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>15774105</BOY>
        <EOY>16623678</EOY>
      </DeferredRevenue>
      <MortNotesPyblSecuredInvestProp>
        <BOY>1106643</BOY>
        <EOY>408793</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>173377</BOY>
        <EOY>1162350</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>20921162</BOY>
        <EOY>22691586</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>14583756</BOY>
        <EOY>16189278</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>14583756</BOY>
        <EOY>16189278</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>35504918</BOY>
        <EOY>38880864</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>3075939</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-1470417</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="00000002" softwareId="11000175">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <PublicSupportTotal170>0</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <Total>0</Total>
      </GrossInvestmentIncome170>
      <PublicSupportPertcentage170>0</PublicSupportPertcentage170>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>1904543</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1380315</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>786100</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>163694</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>73306</CurrentTaxYear>
        <Total>4307958</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>35112782</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>36905697</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>39203149</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>42964560</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>50119116</CurrentTaxYear>
        <Total>204305304</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>37017325</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>38286012</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>39989249</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>43128254</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>50192422</CurrentTaxYear>
        <Total>208613262</Total>
      </Total509>
      <AmtsFromSubstContributors>
        <CurrentTaxYearMinus4Years>6347660</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>11514942</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>12283784</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>13546211</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>15357867</CurrentTaxYear>
        <Total>59050464</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <CurrentTaxYearMinus4Years>6347660</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>11514942</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>12283784</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>13546211</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>15357867</CurrentTaxYear>
        <Total>59050464</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>149562798</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>645376</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>228211</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>166897</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>9498</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>12631</CurrentTaxYear>
        <Total>1062613</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>645376</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>228211</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>166897</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>9498</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>12631</CurrentTaxYear>
        <Total>1062613</Total>
      </InvestmentIncomeAndUBTI>
      <TotalSupportTotal>
        <Total>209675875</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.71330</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.72100</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00510</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.00750</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="00000003" softwareId="11000175">
      <Land>
        <InvestmentCostOrOtherBasis>222567</InvestmentCostOrOtherBasis>
        <BookValue>222567</BookValue>
      </Land>
      <Buildings>
        <InvestmentCostOrOtherBasis>4908670</InvestmentCostOrOtherBasis>
        <Depreciation>3863360</Depreciation>
        <BookValue>1045310</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <InvestmentCostOrOtherBasis>2685715</InvestmentCostOrOtherBasis>
        <Depreciation>1331787</Depreciation>
        <BookValue>1353928</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <InvestmentCostOrOtherBasis>12402268</InvestmentCostOrOtherBasis>
        <Depreciation>9679739</Depreciation>
        <BookValue>2722529</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>5344334</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>FUNDS HELD BY ESCROW</Description>
        <BookValue>430480</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DEFERRED FINANCING COSTS, NET</Description>
        <BookValue>12063</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>OTHER ASSETS</Description>
        <BookValue>32398</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>457(b)PLAN</Description>
        <BookValue>212463</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>687404</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>457(b)PLAN</Description>
        <Amount>212463</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Accrued 403(b) Contribution</Description>
        <Amount>776483</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Capitalized Equipment Lease Obligation</Description>
        <Amount>173404</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>1162350</TotalOfAmounts>
      <TotalRevenue>50205054</TotalRevenue>
      <TotalExpenses>47129115</TotalExpenses>
      <ExcessOrDeficitForYear>3075939</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>-1470417</NetUnrealizedGLOnInvestments>
      <OtherAmount>-211340</OtherAmount>
      <TotalAdjustments>-1681757</TotalAdjustments>
      <ExcessOrDeficitPerFS>1394182</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>50038607</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>-1470417</NetUnrealizedGainsInvestments>
      <OtherRevenues>1303970</OtherRevenues>
      <RevenueNotRptdF990>-166447</RevenueNotRptdF990>
      <RevenueSubtotal>50205054</RevenueSubtotal>
      <TotalRevenuePerForm990>50205054</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>48644425</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>1515310</OtherExpensesIncluded>
      <ExpensesNotRptdF990>1515310</ExpensesNotRptdF990>
      <ExpensesSubtotal>47129115</ExpensesSubtotal>
      <TotalExpensesPerForm990>47129115</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Pt X</Identifier>
        <Explanation>Management evaluated the Institue's tax positions and concluded that the Institute had</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Explanation>taken no uncertain tax postions that require adjustment to the financial statements to comply with the provisions of FASB ASC Topic 740-10. Consequently, no accrual for interest and penalties was deemed necessary for the years ended December 31, 2011 and 2010.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Pt XI Line 8</Identifier>
        <Explanation>EXCLUDES ECRI BHD, A MALAYSIAN CORPORATION WITH NO ACTIVITY IN THE U.S. AND NOT REPORTABLE FOR FORM 990</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Pt XII Line 2d</Identifier>
        <Explanation>EXCLUDES ECRI BHD, A MALAYSIAN CORPORATION WITH NO ACTIVITY IN THE U.S. AND NOT REPORTABLE FOR FORM 990</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Pt XIII Line 2d</Identifier>
        <Explanation>EXCLUDES ECRI BHD, A MALAYSIAN CORPORATION WITH NO ACTIVITY IN THE U.S. AND NOT REPORTABLE FOR FORM 990</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="00000004" softwareId="11000175">
      <AcctsActvsOutUSTable>
        <Region>Europe</Region>
        <NumberOfOffices>1</NumberOfOffices>
        <NumberOfEmployees>6</NumberOfEmployees>
        <TypeOfActivitiesConducted>PROGRAM SERVICES</TypeOfActivitiesConducted>
        <SpecificServicesProvided>See Part IV</SpecificServicesProvided>
        <TotalExpenditures>952137</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>Middle East</Region>
        <NumberOfOffices>1</NumberOfOffices>
        <NumberOfEmployees>1</NumberOfEmployees>
        <TypeOfActivitiesConducted>PROGRAM SERVICES</TypeOfActivitiesConducted>
        <SpecificServicesProvided>See Part IV</SpecificServicesProvided>
        <TotalExpenditures>134381</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <SubtotalNumberOfOffices>2</SubtotalNumberOfOffices>
      <SubtotalNumberOfEmployees>7</SubtotalNumberOfEmployees>
      <TotalNumberOfOffices>2</TotalNumberOfOffices>
      <TotalNumberOfEmployees>7</TotalNumberOfEmployees>
      <SubtotalAmountSpent>1086518</SubtotalAmountSpent>
      <TotalAmountSpent>1086518</TotalAmountSpent>
      <TransferToForeignCorp>false</TransferToForeignCorp>
      <InterestInForeignTrust>false</InterestInForeignTrust>
      <OwnForeignCorp>false</OwnForeignCorp>
      <PassiveForeignInvestCo>false</PassiveForeignInvestCo>
      <ForeignPartnership>false</ForeignPartnership>
      <BoycottCountries>false</BoycottCountries>
      <Form990ScheduleFPartV>
        <Identifier>Pt I Line 2</Identifier>
        <Explanation>ECRI Institute does not provide grants</Explanation>
      </Form990ScheduleFPartV>
      <Form990ScheduleFPartV>
        <Identifier>Pt 1 Line 1</Identifier>
        <Explanation>ECRI Institute does not provide grants</Explanation>
      </Form990ScheduleFPartV>
      <Form990ScheduleFPartV>
        <Identifier>Pt 1 Line 3 Col (E)1</Identifier>
        <Explanation>An office is maintained in England in order to provide publications, reports and other healthcare information, technical assistance services and education programs, all in support of the Institute's mission (see Form 990, Part 1, Line 1) in Europe and elsewhere outside the United States.</Explanation>
      </Form990ScheduleFPartV>
      <Form990ScheduleFPartV>
        <Identifier>Pt 1 Line 3 Col (E)2</Identifier>
        <Explanation>An office is maintained in Dubai, UAE in order to provide publications, reports and other healthcare information, technical assistance services and education programs, all in support of the Institute's mission (see Form 990, Part 1, Line 1) in the Middle East.</Explanation>
      </Form990ScheduleFPartV>
    </IRS990ScheduleF>
    <IRS990ScheduleJ documentId="00000005">
      <ClubDuesOrFees>X</ClubDuesOrFees>
      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>true</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>JEFFREY LERNER SEE SCH O</NamePerson>
        <BaseCompensationFilingOrg>460000</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>244540</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>7350</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>1500</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>713390</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ANTHONY MONTAGNOLOSEE SCH O</NamePerson>
        <BaseCompensationFilingOrg>301304</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>42309</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>7350</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>21609</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>372572</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RONNI SOLOMONSEE SCH O</NamePerson>
        <BaseCompensationFilingOrg>290800</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>98124</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>7350</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>21109</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>417383</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>G DANIEL DOWNING</NamePerson>
        <BaseCompensationFilingOrg>213720</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>15233</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>6862</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>17637</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>253452</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>VIVIAN COATES</NamePerson>
        <BaseCompensationFilingOrg>210687</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>15396</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>6772</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>2417</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>235272</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JENNIFER MYERS</NamePerson>
        <BaseCompensationFilingOrg>170196</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>14385</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>5556</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>6942</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>197079</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GLEN HALL</NamePerson>
        <BaseCompensationFilingOrg>192890</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>53823</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>1961</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>25522</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>274196</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>STEVE FERENS</NamePerson>
        <BaseCompensationFilingOrg>79031</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>137504</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>6577</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>11939</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>235051</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KAREN SCHOELLES</NamePerson>
        <BaseCompensationFilingOrg>185270</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>4603</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>5558</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>7638</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>203069</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOEL NOBEL</NamePerson>
        <BaseCompensationFilingOrg>60304</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>111828</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>18137</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>190269</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARK BRULEY</NamePerson>
        <BaseCompensationFilingOrg>173901</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>-2564</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>5247</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>21493</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>198077</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Pt I Line 1b</Identifier>
        <Explanation>Does the organization follow written policy regarding payment or reimbursement of</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Pt I Line 5a</Identifier>
        <Explanation>DID THE ORGANIZATION PAY OR ACCRUE ANY COMPENSATION CONTINGENT ON THE REVENUES OF THE ORGANIZATION? IN ORDER TO ACCOMPLISH ITS MISSION TO IMPROVE PUBLIC HEALTH AND SAFETY, IT IS NECESSARY TO HIRE, MOTIVATE AND RETAIN QUALIFIED EMPLOYEES PRIMARILY RESPONSIBLE FOR BUSINESS DEVELOPMENT. THESE POSITIONS REQUIRE EXTENSIVE TRAVEL, KNOWLEDGE OF HEALTHCARE ISSUES AND INSTITUTE CAPABILITIES, THE ABILITY TO EFFECTIVELY COMMUNICATE WITH HEALTHCARE PROFESSIONALS AT ALL LEVELS, AND OTHER CRITICAL SKILLS. FOR THESE POSITIONS, THE ORGANIZATION PROVIDES A BASE SALARY COMBINED WITH A PAY COMPONENT WHICH IS CONTINGENT ON REVENUES IN ORDER TO REWARD REVENUE GENERATION FOR BUSINESS DEVELOPMENT WHILE ENSURING THAT A PORTION OF COMPENSATION IS AT RISK. IN FORM 990, PART VII, SECTION A, THERE ARE THREE (3) EMPLOYEES WHO RECEIVED SUCH COMPENSATION: GLEN HALL, VICE PRESIDENT OF SALES; STEVE FERENS, AREA VP NORTH AND WEST SALES; AND JOEL NOBEL, DIRECTOR- INTERNATIONAL/ ME.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Part 1 Line 1a</Identifier>
        <Explanation>Relevant information regarding dues paid in behalf of or to a person listed in Part VII, Section A, Line 1a: In</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>PartII Lines1-3 Biii</Identifier>
        <Explanation>In order to attract and retain dedicated, highly talented individuals with clearly demonstrated achievement in advancing the organization's mission and accomplishments, the organization implemented a total compensation package for the three top managers that supports organizational goals and remains competitive with comparable organizations. The program is based on the evaluation and findings of a qualified independent compensation consultant engaged directly by a Board committee made up of independent members of the Board. Based on these findings, the organization instituted executive retirement payments for the three top managers as well as make-up retirement payments based on years of service in support of the organization's mission and activities. Other compensation for Jeffrey Lerner, President and Chief Executive Officer, Anthony Montagnolo, Executive Vice President and Chief Operating Officer and Ronni Solomon, Executive Vice President and General Counsel, includes payments under supplemental executive retirement compensation agreements and 403(b) make-up supplemental funding compensation agreements.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Part II,Column B iii</Identifier>
        <Explanation>For one emplyee, small negative amount is shown. This reason for this is fomulaic: the Form 990 instructions state that the Column (B)(i) amount is to be the employee's base compensation and that the sum of Columns (B)(i), (B)(ii) and (B)(iii) must equal the amount reported on Form 990, Part VII, Section A, Columns (D) and (E); all other payments to the employee are to be shown in Column (B)(iii). The small negative amount reflects the voluntary pay reduction under a Flexible Spending Plan, net of other payments to the employee.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="00000006" softwareId="11000175">
      <GeneralExplanation>
        <Identifier>Pt VI, Line 11a</Identifier>
        <Explanation>Describe the process used by the organization to review the Form 990: The Form 990 is prepared by the</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Controller with input from others as needed. A draft of the completed Form 990 is reviewed by the Chief</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Financial Officer. Thereafter, the preliminary Form 990 is sent to each officer and Trustee</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>for their review and comments, and all questions and comments are responded to. In addition,</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>the Form 990 is reviewed and discussed with the Governing Board's Finance/Audit Committee</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>and thereafter with the Trustees. After the above-described reviews and discussions, the final</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 is signed and filed with the IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI, Line 12c</Identifier>
        <Explanation>Describe how the organization regularly and consistently monitors and enforces compliance with the</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>organization's conflict of interest policy: All staff receive a Code of Conduct and Business Ethics manual that</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>sets forth the institutional principles, mission, goals, conflict of interest rules, and other matters related to</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>quality and accountability. The Board of Trustees has established the organization's conflict of interest</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>policy and requires that each employee and Trustee annually responds to a questionnaire with a certification</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>that there is no conflict of interest that has not been disclosed and appropriately adjudicated. The Board of</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Trustees has directed the Executive Vice President and General Counsel and the Chief Financial Officer to review</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>each certification and to ensure adherence with this policy. The organization also maintains a hotline</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>number for staff to report possible violations. The organization's conflict of interest policy also requires that</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>instances that might occur during the year and would require disclosure under the policy be promptly</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>reported to the Executive Vice President and General Counsel and the Chief Financial Officer for their review and</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>adjudication. The Board of Trustees takes appropriate action if there is any non-compliance with the</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>organization's conflict of interest policy.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI, Line 15</Identifier>
        <Explanation>Describe the process for determining compensation for the Chief Executive Officer: Compensation for the</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>President and Chief Executive Officer is subject to the review and approval by the Board of Trustees, meeting in</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>executive session with no involvement by persons having a conflict of interest with respect to</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>compensation arrangements at issue. The Compensation Committee of the Board reviews and analyzes</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>performance and comparability data and makes a recommendation to the full Board. The process includes the</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>use of data as to comparable compensation for similarly qualified persons in functionally comparable positions</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part IX, Line 24f</Identifier>
        <Explanation>MISCELLANEOUS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>at similarly situated organizations. There is contemporaneous documentation and recordkeeping with</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>respect to the deliberations and decisions regarding such compensation arrangements. The organization's</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>process involves data from compensation surveys, the periodic use of an independent compensation</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>consultant, and other sources of comparability data.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI, Line 15</Identifier>
        <Explanation>Describe the process for determining compensation for other officers: Compensation for the Executive</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Vice President and Chief Operating Officer and for the Executive Vice President and General Counsel is</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>determined by the President and Chief Executive Officer. The process includes the use of data as to</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>comparable compensation for similarly qualified persons in functionally comparable positions at similarly</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>situated organizations. The process also includes discussion, advice and oversight by the Compensation</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Committee of the Board of Trustees which reports to the full Board of Trustees. Pertinent information and</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>other substantiation of the deliberations and decisions are documented. The organization's process</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>involves data from compensation surveys, the periodic use of an independent compensation consultant,</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>and other sources of comparability data. The President and Chief Executive Officer and other top managers</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>review the compensation for officers and key employees other than those mentioned above. The organization</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>also uses its Human Resources Department to review compensation and salary increases based</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>on salary survey data and compensation data for comparable organizations and job functions.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI, Line 19</Identifier>
        <Explanation>Describe how the organization makes its governing documents, conflict of interest policy and financial</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>statements available to the public: Both the Chief Financial Officer and the Executive Vice President &amp;</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>General Counsel are responsible for making its governing documents, conflict of interest policy, financial</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>statements and other documents (ECRI Institute's "Public File")available to the public. This is</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>accomplished by announcing the availability of the Public File and the process by which it may be inspected</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>or copies obtained, such announcement being posted on the Institute's website and being posted in</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>a public area of its facilities. Also, the organization's Form 990 is publically available at www.guidestar.org.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt XI</Identifier>
        <Explanation>Other changes in net assets or fund balance is a combination of net unrealized gains ($1,470,417).</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, Item C</Identifier>
        <Explanation>Name of Organization: The organization's legal name is</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Emergency Care Research Institute. The organization also</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>does business as ECRI Institute, ECRI and ECRI Institute PSO.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VII, Line 1a Col B</Identifier>
        <Explanation>Average Hours Per Week: Except for two full-time employees,</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Trustees are not compensated for their services.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>The amount of time each non-employee Trustee spends on</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>ECRI Institute matters, such as Board meetings, committee</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>meetings and activities, consultation with management and in</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>governance of the organization, varies greatly during</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>the year and is difficult to estimate without detail time</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>records. Accordingly, an average of 2 hours per week is shown for most non-employee</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Trustees, but the 2 hours per week average reported here is the minimum</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>average contribution; many trustees contribute more time on an as-needed-basis.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Part VII, Line 1a Col D</Identifier>
        <Explanation>Reportable Compensation: Compensation reported on Form W-2</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>for three executive officers (Jeffrey Lerner, President and</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Chief Executive Officer, Anthony Montagnolo, Executive Vice</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>President and Chief Operating Officer, and Ronni Solomon,</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Executive Vice President and General Counsel) include base pay</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>plus payments received under a supplemental executive</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>retirement compensation agreement and payments received under a 403(b)</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>make-up supplemental funding compensation agreement. See Schedule J for</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>a breakdown of the compensation amounts for each.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Sch R, Pt V, Line 1p</Identifier>
        <Explanation>Reimbursement paid by other organization for expenses:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>ECRI Institute incurs costs for developing, printing and</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>distributing publications and other information for the</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>benefit of ECRI Bhd., an affiliate incorporated in</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Malaysia. ECRI Institute also incurs costs for technical</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>assistance and administrative support provided to ECRI</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Bhd. The fair value of such costs is determined at an</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>arms-length basis, and is reimbursed to ECRI Institute by</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>ECRI Bhd. In 2011, the payment received by ECRI Institute</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>for such charges was $697,717, approximately 1.4% of ECRI Institute's</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>total expenses. 100% of this amount ($697,717) is related to the same exempt purpose as that</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>for the controlling entity, ECRI Institute, and is not unrelated business income. In addition, since the</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>payment is a reimbursement of actual costs incurred by the controlling entity, ECRI Institute, there</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>is no net income from this transaction.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="00000007" softwareId="11000175">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ECRI LABORATORIES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5200 BUTLER PIKE</AddressLine1>
          <City>PLYMOUTH MEETING</City>
          <State>PA</State>
          <ZIPCode>19462</ZIPCode>
        </AddressUS>
        <EIN>232053202</EIN>
        <PrimaryActivities>INACTIVE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501C3</ExemptCodeSection>
        <PublicCharityStatus>INACTIVE</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>WHITEMARSH INSTITUTE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5200 BUTLER PIKE</AddressLine1>
          <City>PLYMOUTH MEETING</City>
          <State>PA</State>
          <ZIPCode>19462</ZIPCode>
        </AddressUS>
        <EIN>232996964</EIN>
        <PrimaryActivities>INACTIVE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501C3</ExemptCodeSection>
        <PublicCharityStatus>INACTIVE</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ECRI SHARED SERVICES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5200 BUTLER PIKE</AddressLine1>
          <City>PLYMOUTH MEETING</City>
          <State>PA</State>
          <ZIPCode>19462</ZIPCode>
        </AddressUS>
        <EIN>232056173</EIN>
        <PrimaryActivities>INACTIVE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501C3</ExemptCodeSection>
        <PublicCharityStatus>INACTIVE</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ECRI BHD</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressForeign>
          <AddressLine1>11-3-10 JALAN 3/109F DANUA BUSINESS</AddressLine1>
          <City>KUALA LUMPUP</City>
          <Country>MY</Country>
        </AddressForeign>
        <PrimaryActivities>IMPROVE HEALTHCARE</PrimaryActivities>
        <LegalDomicileForeignCountry>MY</LegalDomicileForeignCountry>
        <ExemptCodeSection>N/A</ExemptCodeSection>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ECRI INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5200 BUTLER PIKE</AddressLine1>
          <City>PLYMOUTH MEETING</City>
          <State>PA</State>
          <ZIPCode>19462</ZIPCode>
        </AddressUS>
        <EIN>232082955</EIN>
        <PrimaryActivity>INACTIVE</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>NATIONAL SAFETY TECHNOLOGIES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5200 BUTLER PIKE</AddressLine1>
          <City>PLYMOUTH MEETING</City>
          <State>PA</State>
          <ZIPCode>19462</ZIPCode>
        </AddressUS>
        <EIN>232491329</EIN>
        <PrimaryActivity>INACTIVE</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>ECRI INSTITUTE</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>100</ShareOfTotalIncome>
        <ShareOfEOYAssets>100</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ECRI BHD A COMPANY INCORPORATED IN MALAYSIA (SEE SCHEDULE O FOR MORE INFORM</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>710199</AmountInvolved>
        <MethodOfAmtDetermination>actual</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>