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      <Description>THE MISSION OF THE ACS DIVISION OF RESEARCH AND OPTIMAL PATIENT CARE (DROPC) IS TO IMPROVE THE QUALITY OF SURGICAL CARE BY ENABLING ALL SURGEONS TO APPLY THE BEST SCIENTIFIC EVIDENCE AVAILABLE IN ALL ASPECTS OF THEIR DAILY PRACTICE WITH RESPECT, COMPASSION, AND DIGNITY FOR ALL PATIENTS. THE DROPC PROMOTES THE PRACTICE OF EVIDENCE-BASED SURGERY BY DEVELOPING NEW KNOWLEDGE THROUGH BASIC AND CLINICAL RESEARCH, THE SETTING AND VERIFICATION OF STANDARDS, DEVELOPMENT OF BEST PRACTICES AND GUIDELINES, EDUCATIONAL ACTIVITIES, AND THE COLLECTION AND MEASUREMENT OF OUTCOMES. THE DROPC IS COMPRISED OF THREE FOCUS AREAS. 1. CANCER - THE COMMISSION ON CANCER (COC) IS A CONSORTIUM OF PROFESSIONAL ORGANIZATIONS DEDICATED TO IMPROVING SURVIVAL AND QUALITY OF LIFE FOR CANCER PATIENTS THROUGH STANDARD-SETTING, PREVENTION, RESEARCH, EDUCATION, AND THE MONITORING OF COMPREHENSIVE QUALITY CARE. THE COC ACCREDITATION PROGRAM SETS STANDARDS FOR QUALITY, MULTIDISCIPLINARY CANCER CARE DELIVERED IN MORE THAN 1,400 HOSPITAL SETTINGS IN THE UNITED STATES AND PUERTO RICO. OTHER COC PROGRAMS INCLUDE THE CANCER PHYSICIAN LIAISON PROGRAM, THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS, AND THE NATIONAL CANCER DATA BASE. 2. TRAUMA - THE COMMITTEE ON TRAUMA (COT) AND THE TRAUMA PROGRAMS STAFF OVERSEE AND SUPPORT VARIOUS DIDACTIC AND EXPERIENTIAL TRAUMA COURSES, THE NATIONAL TRAUMA REGISTRY, THE NATIONAL TRAUMA DATA BANK, THE VERIFICATION/CONSULTATION PROGRAM FOR HOSPITALS, THE TRAUMA SYSTEM CONSULTATION PROGRAM, AND REGIONAL TRAUMA ORGANIZATION OF STATE/PROVINCIAL ACTIVITIES. THE COT IS ALSO ACTIVE IN PRE-HOSPITAL TRAUMA CARE, INJURY PREVENTION AND CONTROL, PERFORMANCE IMPROVEMENT AND PATIENT SAFETY, RURAL TRAUMA, DISASTER MANAGEMENT, AND OUTCOMES STUDIES. 3. CONTINUOUS QUALITY IMPROVEMENT (CQI) - THE DROPC'S CONTINUOUS QUALITY IMPROVEMENT (QI) PROGRAMS PROVIDE THE INFRASTRUCTURE FOR SEVERAL QI PROGRAMS, AS WELL AS FOR CONDUCTING HEALTH SERVICES RESEARCH, CLINICAL RESEARCH, LABORATORY RESEARCH, META-ANALYSES, CLINICAL TRIALS, OUTCOME STUDIES, RESEARCH HYPOTHESIS GENERATION, AND THE DEVELOPMENT OF EVIDENCE-BASED PRACTICE GUIDELINES. THE MAJOR QI PROGRAMS WITHIN CQI INCLUDE THE ACS NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM (ACS NSQIP) AND THE ACS BARIATRIC SURGICAL CENTER NETWORK (ACS BSCN).</Description>
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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 2009, 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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        <Description>ADVOCACY AND HEALTH POLICY - THE HEALTH POLICY AND ADVOCACY DIVISION DEVELOPS STRATEGIES TO PROVIDE HIGH QUALITY AND SAFE CARE FOR SURGICAL PATIENTS. THE DIVISION DEVELOPS EFFECTIVE COMMUNICATION STRATEGIES TO INTERFACE WITH LEGISLATIVE AND REGULATORY BODIES. THE HEALTH POLICY DIVISION ENHANCES THE ABILITY TO IDENTIFY, PRIORITIZE, AND PROMOTE PUBLIC POLICY ISSUES RELATIVE TO SURGICAL CARE.</Description>
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        <NamePerson>Leigh A Neumayer</NamePerson>
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        <NamePerson>Kirby I Bland</NamePerson>
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        <NamePerson>Karen E Deveney</NamePerson>
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        <NamePerson>LD Britt</NamePerson>
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        <NamePerson>Richard J Finley</NamePerson>
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        <NamePerson>David B Hoyt</NamePerson>
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        <NamePerson>Frederick L Greene</NamePerson>
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        <NamePerson>Ajit K Sachdeva</NamePerson>
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      <Interest>
        <Total>350895</Total>
        <ManagementAndGeneral>350895</ManagementAndGeneral>
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      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>2392870</Total>
        <ManagementAndGeneral>2392870</ManagementAndGeneral>
      </DepreciationDepletion>
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        <ManagementAndGeneral>132328</ManagementAndGeneral>
      </Insurance>
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        <Description>HONORARIA</Description>
        <Total>1864472</Total>
        <ProgramServices>1838472</ProgramServices>
        <ManagementAndGeneral>25000</ManagementAndGeneral>
        <Fundraising>1000</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EQUIPMENT MAINTENANCE</Description>
        <Total>1353914</Total>
        <ProgramServices>1062649</ProgramServices>
        <ManagementAndGeneral>278850</ManagementAndGeneral>
        <Fundraising>12415</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>TEMP HELP - OTHER</Description>
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        <ProgramServices>399929</ProgramServices>
        <ManagementAndGeneral>342435</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <OtherExpenses>
        <Description>FURNISHINGS RENTAL</Description>
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        <ManagementAndGeneral>18377</ManagementAndGeneral>
        <Fundraising>5479</Fundraising>
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      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
        <Total>225750</Total>
        <ProgramServices>158202</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>67548</Fundraising>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>646180</Total>
        <ProgramServices>242730</ProgramServices>
        <ManagementAndGeneral>401290</ManagementAndGeneral>
        <Fundraising>2160</Fundraising>
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      <TotalFunctionalExpenses>
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        <ManagementAndGeneral>15603619</ManagementAndGeneral>
        <Fundraising>966757</Fundraising>
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      <LandBldgEquipmentAccumDeprec>39427948</LandBldgEquipmentAccumDeprec>
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        <EOY>25307000</EOY>
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      <MortNotesPyblSecuredInvestProp>
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        <EOY>97452268</EOY>
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        <BOY>32289880</BOY>
        <EOY>31904508</EOY>
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      <TotalLiabilities>
        <BOY>165942182</BOY>
        <EOY>188682881</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>220712732</BOY>
        <EOY>237259475</EOY>
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      <TemporarilyRestrictedNetAssets>
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        <EOY>18004923</EOY>
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      <PermanentlyRestrictedNetAssets>
        <BOY>5282891</BOY>
        <EOY>5455391</EOY>
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      <TotalNetAssetsFundBalances>
        <BOY>242076826</BOY>
        <EOY>260719789</EOY>
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      <TotalLiabNetAssetsFundBalances>
        <BOY>408019008</BOY>
        <EOY>449402670</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
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        <CurrentTaxYearMinus3Years>15159225</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2763487</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>15285483</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>17104162</CurrentTaxYear>
        <Total>67687199</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
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        <CurrentTaxYearMinus3Years>21587005</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>39123729</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>31270119</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>33504195</CurrentTaxYear>
        <Total>145673288</Total>
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      <Total509>
        <CurrentTaxYearMinus4Years>37563082</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>36746230</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>41887216</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>46555602</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>50608357</CurrentTaxYear>
        <Total>213360487</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <CurrentTaxYearMinus4Years>13636782</CurrentTaxYearMinus4Years>
        <Total>13636782</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <CurrentTaxYearMinus4Years>1125245</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>878583</CurrentTaxYearMinus3Years>
        <CurrentTaxYear>69274</CurrentTaxYear>
        <Total>2073102</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <CurrentTaxYearMinus4Years>14762027</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>878583</CurrentTaxYearMinus3Years>
        <CurrentTaxYear>69274</CurrentTaxYear>
        <Total>15709884</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>197650603</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>15813106</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>17632967</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>17904679</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>18227766</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>8565462</CurrentTaxYear>
        <Total>78143980</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
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        <CurrentTaxYearMinus3Years>17632967</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>17904679</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>18227766</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>8565462</CurrentTaxYear>
        <Total>78143980</Total>
      </InvestmentIncomeAndUBTI>
      <OtherIncome509>
        <CurrentTaxYearMinus4Years>1742822</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>2708322</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2515383</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1933615</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>53424</CurrentTaxYear>
        <Total>8953566</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>55119010</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>57087519</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>62307278</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>66716983</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>59227243</CurrentTaxYear>
        <Total>300458033</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.65783</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.70385</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.26008</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.26335</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>23000</MediaAdvertisementsAmount>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>true</DirectContactLegislators>
      <DirectContactLegislatorsAmount>99717</DirectContactLegislatorsAmount>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>false</OtherActivities>
      <TotalLobbyingExpendituresIIB>122717</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form4720Filed4912Tax>false</Form4720Filed4912Tax>
      <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>166732757</BeginningOfYearBalance>
        <Contributions>500586</Contributions>
        <InvestmentEarningsOrLosses>17726296</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>2302420</GrantsOrScholarships>
        <OtherExpenditures>8229484</OtherExpenditures>
        <AdministrativeExpenses>0</AdministrativeExpenses>
        <EndOfYearBalance>174427735</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>228519859</BeginningOfYearBalance>
        <Contributions>78758</Contributions>
        <InvestmentEarningsOrLosses>-51137390</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>1826840</GrantsOrScholarships>
        <OtherExpenditures>8901630</OtherExpenditures>
        <AdministrativeExpenses>0</AdministrativeExpenses>
        <EndOfYearBalance>166732757</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <BoardDesignatedEOYBalance>0.93990</BoardDesignatedEOYBalance>
      <PermanentEndowmentEOYBalance>0.03130</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.02880</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <Land>
        <OtherCostOrOtherBasis>40905745</OtherCostOrOtherBasis>
        <BookValue>40905745</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>108748583</OtherCostOrOtherBasis>
        <Depreciation>28880338</Depreciation>
        <BookValue>79868245</BookValue>
      </Buildings>
      <LeaseholdImprovements />
      <Equipment>
        <OtherCostOrOtherBasis>13412674</OtherCostOrOtherBasis>
        <Depreciation>10547610</Depreciation>
        <BookValue>2865064</BookValue>
      </Equipment>
      <OtherLandBuildings />
      <TotalOfBookValueLandBuildings>123639054</TotalOfBookValueLandBuildings>
      <FinancialDerivatives />
      <CloselyHeldEquityInterests />
      <TotalOfBookValueSecurities>0</TotalOfBookValueSecurities>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>DUE TO AFFILIATES</Description>
        <Amount>5698068</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>FUNDS HELD FOR OTHERS</Description>
        <Amount>25642545</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>OBLIGATIONS UNDER CAPITAL LEAS</Description>
        <Amount>563895</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>31904508</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</Identifier>
        <ReturnReference>PART XI-XIII</ReturnReference>
        <Explanation>AMERICAN COLLEGE OF SURGEONS IS CONSOLIDATED WITH AMERICAN COLLEGE OF SURGEONS FOUNDATION AND AMERICAN COLLEGE OF SURGEONS PROFESSIONAL ASSOCIATION FOR AUDIT PURPOSES AND THEREFORE, THERE IS NOT A SINGLE AUDIT FOR AMERICAN COLLEGE OF SURGEONS.</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, 2010 OR 2009. 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 2005 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>100010</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>Europe (Including Iceland and Greenland)</Region>
        <NumberOfOffices>0</NumberOfOffices>
        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>Grantmaking</TypeOfActivitiesConducted>
        <TotalExpenditures>80088</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>Central America and the Caribbean</Region>
        <NumberOfOffices>0</NumberOfOffices>
        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>Grantmaking</TypeOfActivitiesConducted>
        <TotalExpenditures>3000</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <TotalNumberOfOffices>0</TotalNumberOfOffices>
      <TotalNumberOfEmployees>0</TotalNumberOfEmployees>
      <TotalAmountSpent>183098</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>COT PAPER COMP AWARD</TypeOfAssistance>
        <Region>Cent. America/Caribbean</Region>
        <NumberOfRecipients>4</NumberOfRecipients>
        <AmountOfCashGrant>3000</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK</MannerOfCashDisbursement>
      </GrantsToIndOutsideUS>
      <GrantsToIndOutsideUS>
        <TypeOfAssistance>EXCELLENCE IN RESEARCH AWARD</TypeOfAssistance>
        <Region>Europe/Iceland/Greenland</Region>
        <NumberOfRecipients>2</NumberOfRecipients>
        <AmountOfCashGrant>2000</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>HEALTH POLICY SCHOLAR</TypeOfAssistance>
        <Region>North America</Region>
        <NumberOfRecipients>1</NumberOfRecipients>
        <AmountOfCashGrant>3200</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK</MannerOfCashDisbursement>
      </GrantsToIndOutsideUS>
      <GrantsToIndOutsideUS>
        <TypeOfAssistance>METI GRANT</TypeOfAssistance>
        <Region>North America</Region>
        <NumberOfRecipients>1</NumberOfRecipients>
        <AmountOfCashGrant>36810</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK</MannerOfCashDisbursement>
      </GrantsToIndOutsideUS>
      <GrantsToIndOutsideUS>
        <TypeOfAssistance>INTERNATIONAL GUEST SCHOLAR</TypeOfAssistance>
        <Region>Europe/Iceland/Greenland</Region>
        <NumberOfRecipients>10</NumberOfRecipients>
        <AmountOfCashGrant>80000</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK</MannerOfCashDisbursement>
      </GrantsToIndOutsideUS>
      <Form990ScheduleFPartIV>
        <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>
      </Form990ScheduleFPartIV>
    </IRS990ScheduleF>
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      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>FOUNDATION FOR BIOMEDICAL RESEARCH</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>818 CONNECTICUT AVENUE NW</AddressLine1>
          <City>WASHINGTON</City>
          <State>DC</State>
          <ZIPCode>20006</ZIPCode>
        </AddressUS>
        <EINOfRecipient>042746997</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>12500</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ACCME</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>DEPT 20-1051</AddressLine1>
          <City>CAROL STREAM</City>
          <State>IL</State>
          <ZIPCode>601975940</ZIPCode>
        </AddressUS>
        <EINOfRecipient>363947699</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>7750</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>Dean Rein</NamePerson>
        <BaseCompensationFilingOrg>209113</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>18934</NontaxableBenefitsFilingOrg>
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        <TotalCompensationFilingOrg>228047</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 2009, THE EXECUTIVE DIRECTOR WAS THE ONLY RECIPIENT OF SPOUSAL TRAVEL AND THE AMOUNT WAS INCLUDED IN HIS TAXES.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="IRS990ScheduleM">
      <WorksOfArt />
      <ArtHistoricalTreasures />
      <ArtFractionalInterest />
      <BooksAndPublications />
      <ClothingAndHouseholdGoods />
      <CarsAndOtherVehicles />
      <BoatsAndPlanes />
      <IntellectualProperty />
      <SecuritiesPubliclyTraded />
      <SecuritiesCloselyHeldStock />
      <SecuritiesPrtnrshpTrustIntrsts />
      <SecuritiesMiscellaneous />
      <QualifiedContribHistStruct />
      <QualifiedContribOther />
      <RealEstateResidential />
      <RealEstateCommercial />
      <RealEstateOther />
      <Collectibles />
      <FoodInventory />
      <DrugsAndMedicalSupplies>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>575400</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>COST OR SELL PRICE</MethodOfDeterminingRevenues>
      </DrugsAndMedicalSupplies>
      <Taxidermy />
      <HistoricalArtifacts />
      <ScientificSpecimens />
      <ArchaeologicalArtifacts />
      <NumberOf8283Received>0</NumberOf8283Received>
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>false</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>true</ThirdPartiesUsed>
      <Form990ScheduleMPartII>
        <Identifier>SCHEDULE M, PART 1, LINE 32A</Identifier>
        <ReturnReference>USE OF THIRD PARTIES</ReturnReference>
        <Explanation>THE ORGANIZATION ONLY RECEIVES STOCK DONATIONS AND USES NORTHERN TRUST TO SELL THOSE SECURITIES.</Explanation>
      </Form990ScheduleMPartII>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>FORM 990 - PART III, LINE 4D</Identifier>
        <ReturnReference>Other Program Services</ReturnReference>
        <Explanation>THE COLLEGE CONTAINS AN INTEGRATED COMMUNICATIONS AREA AND MEMBER SERVICES AMONG OTHERS. THROUGH MEMBER SERVICES, THE COLLEGE CONTINUES TO REMAIN A MAJOR PROFESSIONAL ASSOCIATION, WITH 77,380 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: $12,524,016 GRANTS: $1,982,075 REVENUES: $2,510,954</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990 - PART VI, SECTION B, LINE 11A</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 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>SCHEDULE R - PART V</Identifier>
        <ReturnReference>TRANSACTIONS WITH RELATED ORGANIZATIONS</ReturnReference>
        <Explanation>TRANSACTION TYPE 'C' - GIFT, GRANT, OR CAPITAL CONTRIBUTION FROM OTHER ORGANIZATION(S). ACS RECEIVES A CONTRIBUTION FROM THE AMERICAN COLLEGE OF SURGEONS FOUNDATION (ACSF). THE CONTRIBUTION IS $253,780 AND IS REFLECTED IN CONTRIBUTION REVENUE AND EDUCATION EXPENSES ON THE STATEMENT OF ACTIVITIES. EVERY YEAR THE RESOURCES THAT ACS WILL NEED TO SUPPORT ITS MISSION ARE EVALUATED AGAINST ANTICIPATED REVENUES. IF REVENUES ARE NOT SUFFICIENT TO COVER EXPENSES, A CONTRIBUTION FROM ACSF (RELATED ORGANIZATION) TO ACS IS EVALUATED AND INCLUDED IN THE ANNUAL BUDGET. THE BUDGET IS APPROVED BY THE BOARD OF DIRECTORS. THE ANNUAL CONTRIBUTION IS CALCULATED AT THE END OF THE FISCAL YEAR BY DETERMINING ACS RESOURCE REQUIREMENTS WITHIN THE BUDGETED PARAMETERS. ACS RECEIVES A CONTRIBUTION FROM THE AMERICAN COLLEGE OF SURGEONS PROFESSIONAL ASSOCIATION (ACSPA). THE CONTRIBUTION IS $12,859,103 AND IS REFLECTED IN CONTRIBUTION REVENUE AND EDUCATION EXPENSES ON THE STATEMENT OF ACTIVITIES. EVERY YEAR THE RESOURCES THAT ACS WILL NEED TO SUPPORT ITS MISSION ARE EVALUATED AGAINST ANTICIPATED REVENUES. IF REVENUES ARE NOT SUFFICIENT TO COVER EXPENSES, A CONTRIBUTION FROM ACSPA (RELATED ORGANIZATION) TO ACS IS EVALUATED AND INCLUDED IN THE ANNUAL BUDGET. THE BUDGET IS APPROVED BY THE BOARD OF DIRECTORS. THE ANNUAL CONTRIBUTION IS CALCULATED AT THE END OF THE FISCAL YEAR BY DETERMINING ACS RESOURCE REQUIREMENTS WITHIN THE BUDGETED PARAMETERS. TRANSACTION TYPE 'L' - PERFORMANCE OF SERVICES OR MEMBERSHIP OR FUNDRAISING SOLICITATIONS BY OTHER ORGANIZATIONS(S). THE ACS RECEIVED $738,274 FROM THE AMERICAN COLLEGE OF SURGEONS PROFESSIONAL ASSOCIATION (ACSPA) RELATED TO DUES AND STATUS SERVICES FOR ACS MEMBERSHIP. THIS AMOUNT IS BASED ON FAIR MARKET VALUE, AND THE PAYMENT IS HANDLED THROUGH A COST CENTER ACCOUNT MAINTAINED BY THE ORGANIZATIONS. TRANSACTION TYPE 'N' - SHARING OF PAID EMPLOYEES. ACS IS PAID BY THE AMERICAN COLLEGE OF SURGEONS FOUNDATION (ACSF) FOR THE USE OF EMPLOYEES. THESE EXPENSES ARE VALUED AT $573,973. THIS AMOUNT IS BASED ON FAIR MARKET VALUE, AND THE PAYMENT IS HANDLED THROUGH AN INTERCOMPANY ACCOUNT MAINTAINED BY THE ORGANIZATIONS. ACS IS PAID BY THE AMERICAN COLLEGE OF SURGEONS PROFESSIONAL ASSOCIATION (ACSPA) FOR THE USE OF EMPLOYEES. THESE EXPENSES ARE VALUED AT $104,203. THIS AMOUNT IS BASED ON FAIR MARKET VALUE, AND THE PAYMENT IS HANDLED THROUGH AN INTERCOMPANY ACCOUNT MAINTAINED BY THE ORGANIZATIONS. TRANSACTION TYPE 'P' - REIMBURSEMENT PAID TO OTHER ORGANIZATION FOR EXPENSES. THE AMERICAN COLLEGE OF SURGEONS PROFESSIONAL ASSOCIATION (ACSPA) HAD $326,606 IN INFRASTRUCTURE AND OTHER OVERHEAD COST SUPPORT FROM ACS. THIS AMOUNT IS BASED ON FAIR MARKET VALUE, AND THE PAYMENT IS HANDLED THROUGH AN INTERCOMPANY ACCOUNT MAINTAINED BY THE ORGANIZATIONS.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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          <BusinessNameLine1>SURGEONS ASSET MANAGEMENT</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>633 N SAINT CLAIR STREET</AddressLine1>
          <City>CHICAGO</City>
          <State>IL</State>
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        </AddressUS>
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        <PrimaryActivities>INVST ADVISOR</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <TotalIncome>-42902</TotalIncome>
        <EOYAssets>0</EOYAssets>
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        </NameOfDisregardedEntity>
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          <State>IL</State>
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        </AddressUS>
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        </AddressUS>
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        <PublicCharityStatus>N/A</PublicCharityStatus>
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          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
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        </NameOfDisregardedEntity>
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          <City>CHICAGO</City>
          <State>IL</State>
          <ZIPCode>60611</ZIPCode>
        </AddressUS>
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        <PrimaryActivities>ACSPA SURGEON</PrimaryActivities>
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        <PublicCharityStatus>N/A</PublicCharityStatus>
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      <GiftGrantOrCapContrFrOtherOrg>true</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>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
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        </NameOfOtherOrganization>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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        </NameOfOtherOrganization>
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        <AmountInvolved>104203</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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        </NameOfOtherOrganization>
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        <AmountInvolved>326606</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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        </NameOfOtherOrganization>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>AMERICAN COLLEGE OF SURGEONS FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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        </NameOfOtherOrganization>
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  </ReturnData>
</Return>