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        <Description>EDUCATIONAL PROGRAMS - THE COLLEGE'S EDUCATIONAL PROGRAMS HELP MEET THE NEEDS OF SURGEONS, SURGERY RESIDENTS, MEDICAL STUDENTS AND PATIENTS. THE PROGRAMS PROVIDE SURGEONS WITH OPPORTUNITIES FOR MAINTENANCE OF CERTIFICATION, FOR LIFELONG LEARNING, AND FOR MEETING THE CORE COMPETENCIES. IN ADDITION TO PROVIDING CONTINUING MEDICAL EDUCATION ACTIVITIES, THE DIVISION OF EDUCATION HAS DEVELOPED PATIENT EDUCATIONAL MATERIALS RELATIVE TO SURGICAL CARE. DIVISION EFFORTS INCLUDE STAFFING NUMEROUS EDUCATION COMMITTEES AND THE FOLLOWING PROGRAMS: THE ACS CLINICAL CONGRESS IS AN ANNUAL EDUCATIONAL CONFERENCE FOR SURGEONS, INCLUDING FOUR DAYS OF LECTURES, PANEL SESSIONS, POSTGRADUATE COURSES, PRESENTATIONS OF SCIENTIFIC PAPERS AND RESEARCH, VIDEO-BASED EDUCATION SESSIONS, AND OTHER EDUCATIONAL ACTIVITIES. IN OCTOBER 2010, ATTENDANCE AT THE CLINICAL CONGRESS INCLUDED OVER 10,000 PHYSICIANS. THE PUBLICATION, SELECTED READINGS IN GENERAL SURGERY (SRGS), PROVIDES A BROAD, TOPIC-ORIENTED ANALYSIS OF THE CURRENT SURGICAL LITERATURE AND IS AVAILABLE IN PRINT, ONLINE AND CD-ROM FORMATS. SRGS REVIEWS THE ENTIRE SPECIALTY OF SURGERY EVERY TWO TO THREE YEARS FOR SURGERY RESIDENTS AND PRACTICING SURGEONS, AND HAS APPROXIMATELY 2,800 - 3,000 SUBSCRIBERS. THE WEB-BASED PROGRAM ENTITLED FUNDAMENTALS OF LAPAROSCOPIC SURGERY (FLS) IS A JOINT PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS AND THE SOCIETY OF AMERICAN GASTROINTESTINAL AND ENDOSCOPIC SURGEONS (SAGES). FLS IS A COMPREHENSIVE EDUCATION MODULE DESIGNED TO TEACH AND ASSESS PROFICIENCY IN THE DOMAINS OF PHYSIOLOGY, FUNDAMENTAL KNOWLEDGE, AND TECHNICAL SKILLS REQUIRED FOR BASIC LAPAROSCOPIC SURGERY. THE PROGRAM WAS DISTRIBUTED TO OVER 1,500 SURGERY RESIDENTS, FELLOWS, AND PRACTICING SURGEONS DURING THE PAST FISCAL YEAR.</Description>
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        <NamePerson>Valerie W Rusch</NamePerson>
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        <NamePerson>Marshall Z Schwartz</NamePerson>
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        <NamePerson>Howard M Snyder III</NamePerson>
        <Title>Director</Title>
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        <NamePerson>Mark C Weissler</NamePerson>
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        <NamePerson>Michael Zinner</NamePerson>
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        <NamePerson>A Brent Eastman</NamePerson>
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        <NamePerson>Barbara L Bass</NamePerson>
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        <NamePerson>Rene Lafreniere</NamePerson>
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        <NamePerson>LaMar S McGinnis Jr</NamePerson>
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        <NamePerson>Richard J Finley</NamePerson>
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        <NamePerson>Frederick L Greene</NamePerson>
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        <NamePerson>Courtney M Townsend Jr</NamePerson>
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        <NamePerson>Andrew L Warshaw</NamePerson>
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        <NamePerson>David B Hoyt</NamePerson>
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        <NamePerson>Gay Vincent</NamePerson>
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        <NamePerson>Kirby I Bland</NamePerson>
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        <NamePerson>Karen E Deveney</NamePerson>
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        <NamePerson>Thomas R Russell</NamePerson>
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        <NamePerson>Ajit K Sachdeva</NamePerson>
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        <NamePerson>Paul E Collicott</NamePerson>
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        <NamePerson>Linn J Meyer</NamePerson>
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        <NamePerson>Christian D Shalgian</NamePerson>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>1884372</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </DepreciationDepletion>
      <Insurance>
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        <ManagementAndGeneral>154728</ManagementAndGeneral>
        <Fundraising>5046</Fundraising>
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        <ManagementAndGeneral>31000</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>A/V RENTAL</Description>
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        <ProgramServices>1289591</ProgramServices>
        <ManagementAndGeneral>332786</ManagementAndGeneral>
        <Fundraising>11181</Fundraising>
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      <OtherExpenses>
        <Description>TEMP HELP - OTHER</Description>
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        <ManagementAndGeneral>620103</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>MEDICAL SUPPLIES</Description>
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        <ProgramServices>480139</ProgramServices>
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      <OtherExpenses>
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        <ManagementAndGeneral>309476</ManagementAndGeneral>
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      <AllOtherExpenses>
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      <TotalAssets>
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      <TotalLiabilities>
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      <FollowSFAS117>X</FollowSFAS117>
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        <EOY>314304942</EOY>
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      <TotalLiabNetAssetsFundBalances>
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      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>20989178</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>32595975</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
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        <CurrentTaxYearMinus3Years>2763487</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>15285483</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>17104162</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>17253767</CurrentTaxYear>
        <Total>67566124</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
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        <CurrentTaxYearMinus3Years>39123729</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>31270119</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>33504195</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>37641361</CurrentTaxYear>
        <Total>163126409</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>36746230</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>41887216</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>46555602</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>50608357</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>54895128</CurrentTaxYear>
        <Total>230692533</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <CurrentTaxYear>13911372</CurrentTaxYear>
        <Total>13911372</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <CurrentTaxYearMinus4Years>878583</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus1Year>69274</CurrentTaxYearMinus1Year>
        <Total>947857</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <CurrentTaxYearMinus4Years>878583</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus1Year>69274</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>13911372</CurrentTaxYear>
        <Total>14859229</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>215833304</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>17632967</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>17904679</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>18227766</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>8565462</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>12753350</CurrentTaxYear>
        <Total>75084224</Total>
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      <InvestmentIncomeAndUBTI>
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        <CurrentTaxYearMinus3Years>17904679</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>18227766</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>8565462</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>12753350</CurrentTaxYear>
        <Total>75084224</Total>
      </InvestmentIncomeAndUBTI>
      <OtherIncome509>
        <CurrentTaxYearMinus4Years>2708322</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>2515383</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1933615</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>53424</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
        <Total>7210744</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>57087519</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>62307278</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>66716983</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>59227243</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>67648478</CurrentTaxYear>
        <Total>312987501</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.68959</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.65783</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.23990</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.26008</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>true</Volunteers>
      <PaidStaffOrManagement>true</PaidStaffOrManagement>
      <MediaAdvertisements>true</MediaAdvertisements>
      <MediaAdvertisementsAmount>20000</MediaAdvertisementsAmount>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>true</DirectContactLegislators>
      <DirectContactLegislatorsAmount>61593</DirectContactLegislatorsAmount>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>false</OtherActivities>
      <TotalLobbyingExpendituresIIB>81593</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>Schedule C, Part IV</Identifier>
        <ReturnReference>Part II-B Description of Lobbying for Non Electing Public Charities</ReturnReference>
        <Explanation>LINE 1B THE AMERICAN COLLEGE OF SURGEONS HAS A STAFF IN WASHINGTON, D.C. WHICH, AS A PART OF THEIR DUTIES FOR THE COLLEGE, ESTABLISHES CONTACTS AND MAINTAINS LIAISONS WITH MEMBERS OF CONGRESS AND THEIR STAFF, GOVERNMENT AGENCIES, AND OTHER HEALTH REGULATED ORGANIZATIONS IN ORDER TO EXCHANGE INFORMATION PERTINENT TO SURGERY. TO DO THIS THEY: (1) COMMUNICATE COLLEGE VIEWS ON LEGISLATION AND REGULATIONS TO STAFFS AND MEMBERS OF CONGRESS THROUGH PERSONAL VISITS, TELEPHONE CONVERSATIONS AND LETTERS. (2) ORGANIZE OR PARTICIPATE IN COALITIONS OF ORGANIZATIONS WITH RELATED LEGISLATIVE INTEREST. (3) ARRANGE AND FACILITATE MEETINGS FOR COLLEGE OFFICIALS AND MEMBERS WITH ELECTED LEGISLATORS AND STAFF. (4) ARRANGE FOR COLLEGE OFFICIALS TO PRESENT TESTIMONY AT CONGRESSIONAL HEARINGS AND DRAFT AND PRODUCE TESTIMONY AND OFFICIAL WRITTEN RESPONSES TO LEGISLATIVE PROPOSALS. LINE 1G AS DISCUSSED IN LINE 1B ABOVE, THE WASHINGTON STAFF MAINTAINS LIAISONS WITH MEMBERS OF CONGRESS, THEIR STAFF, AND GOVERNMENT AGENCIES TO EXCHANGE INFORMATION PERTINENT TO SURGERY. THE MAJOR ISSUES UNDER DISCUSSION RELATED TO MEDICARE FEE SCHEDULE, FUNDING FOR TRAUMA SYSTEM DEVELOPMENT, HEALTH CARE QUALITY AND MEDICAL LIABILITY REFORM.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <CurrentYear>
        <BeginningOfYearBalance>174427735</BeginningOfYearBalance>
        <Contributions>163834</Contributions>
        <InvestmentEarningsOrLosses>31506329</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>1537025</GrantsOrScholarships>
        <OtherExpenditures>7370998</OtherExpenditures>
        <AdministrativeExpenses>0</AdministrativeExpenses>
        <EndOfYearBalance>197189875</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>166732757</BeginningOfYearBalance>
        <Contributions>500586</Contributions>
        <InvestmentEarningsOrLosses>17726296</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>2302420</GrantsOrScholarships>
        <OtherExpenditures>8229484</OtherExpenditures>
        <AdministrativeExpenses>0</AdministrativeExpenses>
        <EndOfYearBalance>174427735</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>228519859</BeginningOfYearBalance>
        <Contributions>78758</Contributions>
        <InvestmentEarningsOrLosses>-51137390</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>1826840</GrantsOrScholarships>
        <OtherExpenditures>8901630</OtherExpenditures>
        <AdministrativeExpenses>0</AdministrativeExpenses>
        <EndOfYearBalance>166732757</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <BoardDesignatedEOYBalance>0.93900</BoardDesignatedEOYBalance>
      <PermanentEndowmentEOYBalance>0.02800</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.03300</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <Land>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>40905745</OtherCostOrOtherBasis>
        <BookValue>40905745</BookValue>
      </Land>
      <Buildings>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>112578946</OtherCostOrOtherBasis>
        <Depreciation>31878478</Depreciation>
        <BookValue>80700468</BookValue>
      </Buildings>
      <LeaseholdImprovements />
      <Equipment>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>12690888</OtherCostOrOtherBasis>
        <Depreciation>10570284</Depreciation>
        <BookValue>2120604</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>873568</OtherCostOrOtherBasis>
        <BookValue>873568</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>124600385</TotalOfBookValueLandBuildings>
      <FinancialDerivatives />
      <CloselyHeldEquityInterests />
      <OtherSecurities>
        <Description>WELLINGTON ENERGY TRUST</Description>
        <BookValue>20526317</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>GRESHAM COMMODITY TAP FUND</Description>
        <BookValue>13763268</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>VARIOUS HEDGE FUNDS</Description>
        <BookValue>59896166</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>94185751</TotalOfBookValueSecurities>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>DUE TO AFFILIATES</Description>
        <Amount>6412272</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>FUNDS HELD FOR OTHERS</Description>
        <Amount>24479577</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>OBLIGATIONS UNDER CAPITAL LEASES</Description>
        <Amount>639995</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>31531844</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>SCHEDULE D - PART V</Identifier>
        <ReturnReference>LINE 4</ReturnReference>
        <Explanation>THE ENDOWMENT FUNDS ARE INTENDED TO PROVIDE AND ENSURE THAT EDUCATION, RESEARCH, SCHOLARSHIPS, BUILDING FACILITIES AND THE COLLEGE AS A WHOLE HAVE ENOUGH FUNDING TO LAST DURING HARD ECONOMIC TIMES, WHILE PROVIDING THE OPERATIONS OF THE COLLEGE AN ANNUAL 5% SPENDING RATE.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>SCHEDULE D - PART X, LINE 2</Identifier>
        <Explanation>FIN 48 FOOTNOTE THE COLLEGE AND THE FOUNDATION HAVE RECEIVED LETTERS FROM THE INTERNAL REVENUE SERVICE INDICATING THAT THEY ARE TAX-EXEMPT ORGANIZATIONS AS PROVIDED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986 AND, EXCEPT FOR TAXES RELATING TO UNRELATED BUSINESS INCOME, ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES. THE COLLEGE DOES NOT BELIEVE THAT THERE ARE ANY UNRECOGNIZED TAX BENEFITS OR TAX LIABILITIES THAT SHOULD BE RECORDED AS OF JUNE 30, 2011 OR 2010. FORMS 990 AND 990T FILED BY THE COLLEGE, ACSPA, AND THE FOUNDATION ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. FORMS 990 AND 990T FILED BY THE COLLEGE, ACSPA, AND THE FOUNDATION ARE NO LONGER SUBJECT TO EXAMINATION FOR THE TAX YEARS 2006 AND PRIOR.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="IRS990ScheduleF">
      <GrantRecordsMaintained>true</GrantRecordsMaintained>
      <AcctsActvsOutUSTable>
        <Region>North America</Region>
        <NumberOfOffices>0</NumberOfOffices>
        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>Grantmaking</TypeOfActivitiesConducted>
        <TotalExpenditures>60000</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>Europe (Including Iceland and Greenland)</Region>
        <NumberOfOffices>0</NumberOfOffices>
        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>Grantmaking</TypeOfActivitiesConducted>
        <TotalExpenditures>68300</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>Europe (Including Iceland and Greenland)</Region>
        <NumberOfOffices>0</NumberOfOffices>
        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>Investments</TypeOfActivitiesConducted>
        <TotalExpenditures>63583000</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <SubtotalNumberOfOffices>0</SubtotalNumberOfOffices>
      <SubtotalNumberOfEmployees>0</SubtotalNumberOfEmployees>
      <TotalNumberOfOffices>0</TotalNumberOfOffices>
      <TotalNumberOfEmployees>0</TotalNumberOfEmployees>
      <SubtotalAmountSpent>63711300</SubtotalAmountSpent>
      <TotalAmountSpent>63711300</TotalAmountSpent>
      <GrantsToOrgsOutsideUS>
        <Region>North America</Region>
        <PurposeOfGrant>General Support</PurposeOfGrant>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <TotalNumberOf501c3Orgs>1</TotalNumberOf501c3Orgs>
      <TotalNumberOfOtherOrgs>0</TotalNumberOfOtherOrgs>
      <GrantsToIndOutsideUS>
        <TypeOfAssistance>2010 Irish Trainee Exchange Fellowship</TypeOfAssistance>
        <Region>Europe/Iceland/Greenland</Region>
        <NumberOfRecipients>1</NumberOfRecipients>
        <AmountOfCashGrant>2500</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK</MannerOfCashDisbursement>
      </GrantsToIndOutsideUS>
      <GrantsToIndOutsideUS>
        <TypeOfAssistance>Faculty Research Fellowship</TypeOfAssistance>
        <Region>North America</Region>
        <NumberOfRecipients>1</NumberOfRecipients>
        <AmountOfCashGrant>40000</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK</MannerOfCashDisbursement>
      </GrantsToIndOutsideUS>
      <GrantsToIndOutsideUS>
        <TypeOfAssistance>International Guest Scholar</TypeOfAssistance>
        <Region>Europe/Iceland/Greenland</Region>
        <NumberOfRecipients>8</NumberOfRecipients>
        <AmountOfCashGrant>64000</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK</MannerOfCashDisbursement>
      </GrantsToIndOutsideUS>
      <TransferToForeignCorp>false</TransferToForeignCorp>
      <InterestInForeignTrust>false</InterestInForeignTrust>
      <OwnForeignCorp>false</OwnForeignCorp>
      <PassiveForeignInvestCo>false</PassiveForeignInvestCo>
      <ForeignPartnership>false</ForeignPartnership>
      <BoycottCountries>false</BoycottCountries>
      <Form990ScheduleFPartV>
        <Identifier>SCHEDULE F - PART I</Identifier>
        <ReturnReference>LINE 2</ReturnReference>
        <Explanation>THE AMERICAN COLLEGE OF SURGEONS OFFERS VARIOUS AWARDS AND SCHOLARSHIPS EACH YEAR. EACH AWARD HAS A REQUIREMENTS BROCHURE AND SAMPLES CAN BE FOUND ON HTTP://WWW.FACS.ORG/MEMBERSERVICES/RESEARCH.HTML. THE COLLEGE HAS A SELECTION COMMITTEE WHO IS RESPONSIBLE FOR DECIDING WHO RECEIVES THESE AWARDS. AWARDEES PROVIDE A BUDGET FOR LARGER AWARDS, AND ARE REQUIRED TO SUBMIT ANNUAL AND FINAL NARRATIVE AND FINANCIAL REPORTS. SMALLER AWARDS REQUIRE A NARRATIVE AND SIMPLE FINANCIAL REPORT UPON COMPLETION OF THE PROJECT. THE MEMBER SERVICES DIVISION EMPLOYS AN INTERNATIONAL LIAISON AND SCHOLARSHIPS ADMINISTRATOR TO MONITOR AND OVERSEE THIS PROGRAM.</Explanation>
      </Form990ScheduleFPartV>
      <Form990ScheduleFPartV>
        <Identifier>SCHEDULE F - PART I</Identifier>
        <ReturnReference>LINE 3</ReturnReference>
        <Explanation>THE ORGANIZATION USES AN INVESTMENT MANAGER HOLDING $63,583,000 OF INVESTMENTS THAT IS INCIDENTALLY LOCATED IN LONDON, UK.</Explanation>
      </Form990ScheduleFPartV>
    </IRS990ScheduleF>
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      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ACCME</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>Dept 20-1051</AddressLine1>
          <City>Carol Stream</City>
          <State>IL</State>
          <ZIPCode>60197</ZIPCode>
        </AddressUS>
        <EINOfRecipient>363947699</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>7395</AmountOfCashGrant>
        <PurposeOfGrant>General Support</PurposeOfGrant>
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      <Form990ScheduleJPartII>
        <NamePerson>Barbara Dean</NamePerson>
        <BaseCompensationFilingOrg>119305</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>311</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>76563</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>8104</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>204283</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>SCHEDULE J, PART I, LINE 1A</Identifier>
        <ReturnReference>TRAVEL FOR COMPANIONS</ReturnReference>
        <Explanation>PER IRS REGULATIONS, TRAVEL FOR COMPANIONS IS A TAXABLE BENEFIT. THEREFORE, IF THE EXECUTIVE DIRECTOR OR CFO APPROVES AS AN EXCEPTION REIMBURSEMENT OF THESE EXPENSES, IT WILL BE INCLUDED AS TAXABLE COMPENSATION TO THE EMPLOYEE. IN 2011, THE EXECUTIVE DIRECTOR WAS THE ONLY RECIPIENT OF SPOUSAL TRAVEL AND THE AMOUNT WAS INCLUDED IN HIS TAXES.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>FORM 990 - PART III, LINE 4D</Identifier>
        <ReturnReference>Other Program Services</ReturnReference>
        <Explanation>THE COLLEGE HAS AN INTEGRATED COMMUNICATIONS AND MEMBER SERVICES DIVISION AMONG OTHERS. THROUGH MEMBER SERVICES, THE COLLEGE CONTINUES TO REMAIN A MAJOR PROFESSIONAL ASSOCIATION, WITH OVER 77,000 MEMBERS, FOR ALL SURGICAL SPECIALISTS THAT MEETS THE NEEDS OF MEMBER SURGEONS WITH PROGRAMS AND SERVICES THAT HELP THEM ADAPT TO A CHANGING HEALTH CARE ENVIRONMENT. THE DIVISION EVALUATES ALL APPLICATIONS FOR FELLOWSHIP BASED UPON DEFINED FELLOWSHIP, ASSOCIATE FELLOW, AND RESIDENT/MEDICAL STUDENT REQUIREMENTS. THE DIVISION ALSO STAFFS THE INTERNATIONAL RELATIONS COMMITTEE, SCHOLARSHIP COMMITTEE, AND THE 12 SURGICAL SPECIALTY ADVISORY COUNCILS. SCHOLARSHIPS ARE AWARDED TO VARIOUS MEDICAL STUDENTS AND RESIDENTS AND ARE ADMINISTERED WITHIN THIS AREA. THIS DIVISION ALSO ACTS AS THE STAFF LIAISON FOR THE 216 ELECTED BOARD OF GOVERNORS. THE BOARD OF GOVERNORS ADVISE AND COUNCIL THE BOARD OF REGENTS. THE DIVISION ALSO HEADS THE ACTIVITIES OF OUR 103 DOMESTIC AND INTERNATIONAL CHAPTERS." EXPENSES: $11,271,447 GRANTS: $ 1,273,123 REVENUES: $ 2,058,183</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990 - PART VI, SECTION B, LINE 11B</Identifier>
        <ReturnReference>Board Review of Form 990</ReturnReference>
        <Explanation>THE ACS BOARD OF REGENTS DELEGATED THE REVIEW OF THE 990 TO THE FINANCE COMMITTEE. ONCE THE DRAFT 990 FORMS ARE PREPARED BY OUTSIDE TAX PROFESSIONALS, COPIES OF THE 990 FORMS ARE SENT TO THE FINANCE COMMITTEE. THE FINANCE COMMITTEE IS GIVEN AMPLE TIME TO REVIEW THE DOCUMENTS AND ADDRESS ANY CONCERNS TO THE CHIEF FINANCIAL OFFICER. ONCE THE FINANCE COMMITTEE'S CONCERNS ARE ADDRESSED, THE ACCOUNTING DEPARTMENT WILL EMAIL A COPY TO THE FULL BOARD OF REGENTS PRIOR TO FILING, AND FILE THE 990 FORMS WITH THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990 - PART VI, SECTION B, LINE 12C</Identifier>
        <ReturnReference>Conflict of Interest Policy</ReturnReference>
        <Explanation>THE COLLEGE HAS CONFLICTS OF INTEREST POLICIES FOR EMPLOYEES, CONSULTANTS AND BOARD MEMBERS. ALL EMPLOYEES, CONSULTANTS, AND BOARD MEMBERS ARE REQUIRED TO SIGN A DISCLOSURE STATEMENT EACH YEAR. THE CHIEF FINANCIAL OFFICER'S OFFICE DISSEMINATES AND COLLECTS THESE FORMS. THERE IS ALSO A CONFLICTS OF INTEREST COMMITTEE THAT MEETS PERIODICALLY AS THE NEED ARISES, TO DISCUSS ISSUES THAT RELATE TO CONFLICTS OF INTEREST. THE COMMITTEE ACCOUNTS FOR THE RECEIPT OF DISCLOSURE STATEMENTS AND FOLLOWS UP ON ANY ISSUES. THIS INFORMATION IS THEN REPORTED TO THE FINANCE COMMITTEE OF THE BOARD OF REGENTS. IF THE FINANCE COMMITTEE FEELS THERE ARE CONFLICTS THAT ARE QUESTIONABLE IN NATURE, THEY ARE REPORTED TO THE BOARD OF REGENTS CHAIR AND TREASURER FOR ACTION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990 - PART VI, SECTION B, LINE 15B</Identifier>
        <ReturnReference>Compensation Policy</ReturnReference>
        <Explanation>THE COLLEGE HAS POLICIES AND PROCEDURES CONCERNING COMPENSATION INCREASES, PERFORMANCE EVALUATIONS, AND JOB EVALUATIONS. IN ADDITION, MERIT INCREASES ARE INCLUDED AS A BUDGET PARAMETER FOR REVIEW BY THE FINANCE COMMITTEE AS IS THE ADDITION OF ANY NEW EMPLOYEE OR HUMAN RESOURCE BENEFIT PROPOSAL. THE COLLEGE HAS AN EXECUTIVE COMPENSATION COMMITTEE AS A SUBCOMMITTEE TO THE FINANCE COMMITTEE. THE COMMITTEE IS COMPRISED OF THE BOARD OF REGENTS CHAIR, BOARD OF REGENTS TREASURER, BOARD OF GOVERNORS SECRETARY, AND A MEMBER OF THE FINANCE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE'S PURPOSE IS AS FOLLOWS: TO ESTABLISH PROCEDURES TO CREATE A "REBUTTABLE PRESUMPTION OF REASONABLENESS" IN CONNECTION WITH IRS INTERMEDIATE SANCTIONS REGULATIONS. RESPONSIBILITIES ARE TO ENSURE THAT COMPENSATION FOR EACH "DISQUALIFIED PERSON" IS REASONABLE. HUMAN RESOURCES PROVIDES COMPARABILITY DATA TO THE COMMITTEE IN THE FORM OF SURVEYS, OTHER SIMILAR ORGANIZATIONS, GEOGRAPHICAL COMPARISONS, AND ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS FOR THE SERVICES OF A DISQUALIFIED PERSON. THE COMMITTEE DOCUMENTS THE BASIS FOR ALL COMPENSATION DETERMINATIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990 - PART VI, SECTION C, LINE 19</Identifier>
        <ReturnReference>Documents made available to public</ReturnReference>
        <Explanation>GOVERNING DOCUMENTS ARE AVAILABLE PER REQUEST AND ARE ALSO AVAILABLE ON WWW.GUIDESTAR.ORG.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990 - PART XI, LINE 5</Identifier>
        <ReturnReference>RECONCILIATION OF NET ASSETS</ReturnReference>
        <Explanation>NET UNREALIZED GAIN: $34,251,007 CHANGE IN FUNDS HELD FOR OTHERS: $(4,069,037) PENSION ADJUSTMENT: $ 2,428,949 CHANGE IN VALUE OF ANNUITIES: $ (14,944) ------------ TOTAL: $32,595,975</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:L.D. Britt TITLE:President (10/2010 - 6/2011) HOURS:2</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Carlos A. Pellegrini TITLE:Chair HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Thomas V. Whalen TITLE:VICE-CHAIR HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:H. Randolph Bailey TITLE:Director HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Bruce D. Browner TITLE:Director HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Martin B. Camins TITLE:Director HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Margaret Dunn TITLE:Director (10/2010 - 6/2011) HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Julie A. Freischlag TITLE:Director HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Barrett G. Haik TITLE:Director HOURS:1</Explanation>
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      <GeneralExplanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Charles D. Mabry TITLE:Director HOURS:1</Explanation>
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      <GeneralExplanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Mark A. Malangoni TITLE:Director HOURS:1</Explanation>
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      <GeneralExplanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Robin S. McLeod TITLE:Director HOURS:1</Explanation>
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      <GeneralExplanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Raymond F. Morgan TITLE:Director HOURS:1</Explanation>
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      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Leigh A. Neumayer TITLE:Director (10/2010 - 6/2011) HOURS:1</Explanation>
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      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Karl C. Podratz TITLE:Director HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:J. David Richardson TITLE:Director HOURS:1</Explanation>
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      <GeneralExplanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Valerie W. Rusch TITLE:Director HOURS:1</Explanation>
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      <GeneralExplanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Marshall Z. Schwartz TITLE:Director HOURS:1</Explanation>
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        <Explanation>NAME:Howard M. Snyder III TITLE:Director HOURS:1</Explanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Mark C. Weissler TITLE:Director HOURS:1</Explanation>
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        <Explanation>NAME:Michael Zinner TITLE:Director (10/2010 - 6/2011) HOURS:1</Explanation>
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      <GeneralExplanation>
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        <Explanation>NAME:A. Brent Eastman TITLE:Chair (7/2010 - 9/2010) HOURS:1</Explanation>
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        <Explanation>NAME:Barbara L. Bass TITLE:Director (7/2010 - 9/2010) HOURS:1</Explanation>
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        <Explanation>NAME:Rene Lafreniere TITLE:Director (7/2010 - 9/2010) HOURS:1</Explanation>
      </GeneralExplanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:LaMar S. McGinnis, Jr. TITLE:PRESIDENT (7/2010 - 9/2010) HOURS:1</Explanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Richard J. Finley TITLE:First Vice President HOURS:1</Explanation>
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        <Explanation>NAME:Frederick L. Greene TITLE:Second Vice President HOURS:1</Explanation>
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        <Explanation>NAME:David B. Hoyt TITLE:Executive Director HOURS:2</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
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        <Explanation>NAME:Gay Vincent TITLE:Chief Financial Officer HOURS:2</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
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        <Explanation>NAME:Kirby I. Bland TITLE:First Vice President HOURS:1</Explanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Karen E. Deveney TITLE:Second Vice President HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Thomas R. Russell TITLE:Chair of ACS Foundation HOURS:40</Explanation>
      </GeneralExplanation>
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          <State>IL</State>
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