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        <Explanation>THE ACADEMY WORKS TO EDUCATE OTHER HEALTH CARE PROVIDERS AND THE PUBLIC ABOUT EYE CARE AND REPRESENTS OPHTHALMOLOGISTS AND THEIR PATIENTS BEFORE THE GOVERNMENT AND OTHER ORGANIZATIONS THAT INFLUENCE THE PROVISION OF EYE CARE.</Explanation>
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        <ReturnReference>PART X:</ReturnReference>
        <Explanation>AAO FOLLOWS FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ASC TOPIC 740, INCOME TAXES, TO ACCOUNT FOR UNCERTAIN TAX POSITIONS. MANAGEMENT HAS CONCLUDED THAT AAO HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE ADJUSTMENT TO THE STATEMENT OF POSITION TO COMPLY WITH PROVISIONS OF THIS GUIDANCE. AAO RECOGNIZES INTEREST AND PENALTIES ACCRUED RELATED TO UNRECOGNIZED TAX BENEFITS IN MANAGEMENT AND GENERAL EXPENSES ON THE STATEMENT OF ACTIVITIES AND CHANGES IN NET ASSETS. THE YEARS STILL OPEN TO AUDIT FOR THE U.S. FEDERAL JURISDICTION ARE 2007 THROUGH 2010 AND FOR THE CALIFORNIA STATE JURISDICTION 2005 THROUGH 2010.</Explanation>
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      <AcctsActvsOutUSTable>
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      <AcctsActvsOutUSTable>
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      <AcctsActvsOutUSTable>
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      <AcctsActvsOutUSTable>
        <Region>SOUTH AMERICA</Region>
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        <Identifier>SUPPLEMENTAL INFORMATION</Identifier>
        <ReturnReference>PART III</ReturnReference>
        <Explanation>PART I, LINE 1A: THESE BENEFITS ARE PROVIDED TO THE CEO UNDER TERMS OF HIS CONTRACT AND ARE INCLUDED IN FORM W-2 AS TAXABLE COMPENSATION.</Explanation>
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    </IRS990ScheduleJ>
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          <BusinessNameLine1>DAVID W PARKEMD</BusinessNameLine1>
        </NameBusiness>
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        <Default>0</Default>
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            <BusinessNameLine1>OMIC</BusinessNameLine1>
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        <DescriptionOfTransaction>ROYALTIES</DescriptionOfTransaction>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>THE AMERICAN ACADEMY OF OPHTHALMOLOGY IS A MEMBERSHIP ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>THE ACADEMY HAS THE FOLLOWING TYPES OF MEMBERS: ACTIVE FELLOWS, LIFE FELLOWS, HONORARY FELLOWS, INACTIVE FELLOWS, ACTIVE OSTEOPATHIC FELLOWS, LIFE OSTEOPATHIC FELLOWS, INACTIVE OSTEOPATHIC FELLOWS, ACTIVE MEMBERS, INTERNATIONAL MEMBERS, ASSOCIATE MEMBERS, LIFE MEMBERS, LIFE INTERNATIONAL MEMBERS, LIFE ASSOCIATE MEMBERS, MEMBERS IN TRAINING, INTERNATIONAL MEMBERS IN TRAINING, AND INACTIVE MEMBERS. THE ONLY CLASSES OF MEMBERSHIP ENTITLED TO VOTE ON ANY MATTER, OR TO ATTEND ANY ANNUAL OR SPECIAL BUSINESS MEETING OF THE ACADEMY, ARE ACTIVE FELLOWS, ACTIVE OSTEOPATHIC FELLOWS, LIFE FELLOWS, LIFE OSTEOPATHIC FELLOWS, ACTIVE MEMBERS AND LIFE MEMBERS. ONLY ACTIVE FELLOWS, ACTIVE OSTEOPATHIC FELLOWS AND LIFE FELLOWS ARE ELIGIBLE FOR NOMINATION, ELECTION, OR APPOINTMENT AS AN ELECTED OR APPOINTED OFFICER OR AS A TRUSTEE-AT-LARGE OF THE ACADEMY OR AS THE CHAIR OR VICE CHAIR OF THE COUNCIL.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7B</ReturnReference>
        <Explanation>THE ACADEMY PROVIDES NOTICE OF PROPOSED WORDING OF AMENDMENTS TO THE ARTICLES OF INCORPORATION, BYLAWS, CODE OF ETHICS AND PROCEDURAL RULES, WHICH ARE ENDORSED BY THE BOARD OF TRUSTEES, TO ALL VOTING FELLOWS AND MEMBERS, WHICH ARE REQUIRED TO BE VOTED UPON ACCORDING TO THE BYLAWS. THE RESULTS OF VOTING ARE ANNOUNCED TO THE MEMBERS ON THE ACADEMY'S WEBSITE, IN THE ACADEMY'S JOURNAL AND "EYENET."</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE CHIEF FINANCIAL OFFICER, THE DIRECTOR OF FINANCE AND THE ACCOUNTING MANAGER COMPLETELY REVIEWED THE FORM 990 WITH THE RETURN PREPARERS. THE FORM 990 WAS THEN REVIEWED BY EXTERNAL LEGAL COUNSEL. THE FORM 990 WAS THEN REVIEWED BY THE EXECUTIVE VICE PRESIDENT. THE FORM 990 WAS MAILED AT LEAST ONE WEEK PRIOR TO FILING TO EACH MEMBER OF THE BOARD OF DIRECTORS, WHO WERE INVITED TO ASK QUESTIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>AAO REQUIRES ALL BOARD MEMBERS TO SUBMIT AN ANNUAL CONFLICT OF INTEREST DISCLOSURE DETAILING POTENTIAL CONFLICTS. UPON IDENTIFICATION OF A POTENTIAL CONFLICT OF INTEREST, AAO SEEKS RESOLUTION OF THE CONFLICT THROUGH A VARIETY OF METHODS INCLUDING RECUSAL FROM SPECIFIC DISCUSSIONS, ACTIVITIES OR VOTES, RESIGNATIONS OR BY OTHER MEANS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE AAO COMPENSATION COMMITTEE IS MADE UP OF THE PRESIDENT, PRESIDENT ELECT AND PAST PRESIDENT. THE COMMITTEE ANNUALLY REVIEWS THE STIPEND AND CONTRACT PAYMENTS FOR ALL PHYSICIAN POSITIONS AND USES COMPARATIVE DATA FROM OTHER MEDICAL SPECIALTY SOCIETIES IN THEIR ANALYSIS. THE COMMITTEE IS RESPONSIBLE FOR THE INITIAL CONTRACT NEGOTIATION WITH A NEW CEO/EVP WITH THE ADVICE AND ASSISTANCE OF A PROFESSIONAL COMPENSATION ANALYST WHO PROVIDES COMPARATIVE DATA AND CONSULTATION. FINALLY, THE COMPENSATION COMMITTEE ANNUALLY REVIEWS THE PERFORMANCE OF THE EXECUTIVE VICE PRESIDENT TO DETERMINE THE ANNUAL PERFORMANCE BONUS-WHICH IS LIMITED TO A MAXIMUM OF 15% OF HIS SALARY PER CONTRACT.</Explanation>
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      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE CONFLICT OF INTEREST POLICY, AS WELL AS OTHER POLICY STATEMENTS FOR ACADEMY LEADERS ARE AVAILABLE ON OUR WEBSITE. CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLISHED EVERY FALL IN THE JOURNAL OF OPHTHALMOLOGY AND ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. THE BYLAWS ARE GIVEN TO ALL 23,000 MEMBERS WHEN THEY JOIN THE ACADEMY BUT ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC.</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: 250,257.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C:</ReturnReference>
        <Explanation>THE ROLE AND OPERATION OF THE AUDIT COMMITTEE HAS NOT CHANGED FROM PRIOR YEARS.</Explanation>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>FOUNDATION OF THE AMERICAN ACADEMY OF OPHTALMOLOGY</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>554362</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>