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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 8,541,527 including grants of $ 125,000)(Revenue $ 542,352) OTHER PROGRAMS AND AWARDS</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 8,160,185 including grants of $ 9,373)(Revenue $ 3,869,807) PUBLISHING</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 6,782,826 including grants of $ 368,157)(Revenue $ 4,892,616) ACCREDITATION</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 5,905,089 including grants of $ 4,706)(Revenue $ 1,120,464) OTHER EDUCATIONAL ACTIVITIES</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 5,138,145 including grants of $ 0)(Revenue $ 7,278,132) EDUCATIONAL PRODUCTS</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 4,301,938 including grants of $ 0)(Revenue $ 2,131,091) EDUCATIONAL PROGRAMS</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 3,012,836 including grants of $ 0)(Revenue $ 0) Other</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 2,537,614 including grants of $ 0)(Revenue $ 482) ACC WEB AND DIGITAL STRATEGY</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 1,693,477 including grants of $ 532)(Revenue $ 0) LEADERSHIP AND GOVERNANCE</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 866,613 including grants of $ 0)(Revenue $ 2,685) CARDIOSMART</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 575,004 including grants of $ 359,351) RESEARCH AWARDS</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 186,113 including grants of $ 0) FEDERAL GRANTS</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCF'S SOLE MEMBER IS AMERICAN COLLEGE OF CARDIOLOGY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCF GOVERNING BODY REVIEW OF THE 990 INCLUDES DETAILED REVIEWS BY THE AUDIT AND COMPLIANCE COMMITTEE, A GENERAL REVIEW BY THE FINANCE COMMITTEE AND EXECUTIVE COMMITTEE AND OPTIONAL REVIEW BY EACH BOARD OF TRUSTEE MEMBER.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUAL DISCLOSURE IS REQUIRED FOR ALL MEMBERS PARTICIPATING ON ACCF COMMITTEES, TASK FORCES, WORKING GROUPS, ETC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCF REGULARLY REVIEWS COMPENSATION SURVEYS OF OTHER SIMILAR ORGANIZATIONS TO DETERMINE MARKET RATES FOR SAME/OR SIMILAR FUNCTIONS AND POSITIONS. THIS APPLIES TO ALL FULL-TIME AND PART-TIME EMPLOYEES. IN ADDITION, A FULL COMPENSATION STUDY HAS BEEN CONDUCTED BY AN OUTSIDE CONSULTANT FOR ALL SENIOR STAFF POSITIONS. THIS STUDY IS UPDATED AT LEAST EVERY TWO YEARS. ONLY THE CEO ANNUAL COMPENSATION, INCLUDING ANY PERFORMANCE AWARDS, IS REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES. AN OUTSIDE COMPENSATION CONSULTANT PROVIDES MARKET DATA FOR THE BOARD OF TRUSTEES TO ENSURE APPROPRIATE MARKET RATE IS USED. COMPENSATION PAID TO ACCF MEMBERS, INCLUDING BOARD OF TRUSTEES OFFICERS, IS GOVERNED BY A MEMBER COMPENSATION COMMITTEE POLICY THAT INCORPORATES IRS REQUIREMENTS FOR INDEPENDENT REVIEW, ESTABLISHING COMPARABILITY OF COMPENSATION WITH OTHER, SIMILAR POSITIONS AND/ OR MARKET RATES AND THE DOCUMENTING OF DELIBERATIONS AND OUTCOMES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR MEMBER-FILLED POSITIONS IS BASED ON AN AVERAGE HOURLY RATE FOR CARDIOLOGISTS, AS PUBLISHED FROM AN INDEPENDENT SOURCE, AND THE EXPECTED ANNUAL HOURLY TIME COMMITMENT. AND/OR, THE COMPENSATION AMOUNT IS DETERMINED BY USING THE MARKET COMPENSATION FOR SIMILAR, COMPARABLE POSITIONS. COMPENSATION FOR ALL MEMBER HELD POSITIONS ARE REVIEWED BY AN INDEPENDENT (NON-COMPENSATED) MEMBER-ONLY COMPENSATION COMMITTEE TO ENSURE COMPLIANCE WITH IRS REQUIREMENTS. THIS PROCESS WAS LAST APPLIED TO BOARD OF TRUSTEE OFFICER POSITIONS (I.E. PRESIDENT, PRESIDENT ELECT, IMMEDIATE PAST PRESIDENT, VICE PRESIDENT, TREASURER, SECRETARY/ BOARD OF GOVERNERS (BOG) CHAIR, BOG CHAIR ELECT AND IMMEDIATE PAST BOG CHAIR) PERIODICALLY. COMPENSATION FOR ALL OTHER MEMBER-FILLED POSITIONS IS REVIEWED BY THE BOARD PERIODICALLY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS: GOVERNING DOCUMENTS, SUCH AS BYLAWS, ARTICLES OF INCORPORATION AND CONFLICT OF INTEREST POLICY ARE POSTED ON ACCF MAIN WEBSITE, WWW.ACC.ORG AND ITS MEMBER PORTAL. CONFLICT OF INTEREST POLICY - POSTED ON ACCF MAIN WEBSITE, WWW.ACC.ORG AND ITS MEMBER PORTAL. FINANCIAL STATEMENTS: FINANCIAL STATEMENTS AND FEDERAL TAX RETURNS ARE AVAILABLE UPON REQUEST. IN ADDITION, FEDERAL TAX AND INFORMATIONAL RETURNS ARE AVAILABLE ON WWW.GUIDESTAR.ORG</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A</FormAndLineReferenceDesc>
        <ExplanationTxt>NAME: EDWARD T. A. FRY, MD, FACC ORGANIZATION: ST. VINCENT MEDICAL GROUP COMPENSATION: $293,000 ACC AFFILIATION: PRESIDENT</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A</FormAndLineReferenceDesc>
        <ExplanationTxt>NAME: Hadley B. Wilson, MD, FACC ORGANIZATION: Carolinas Physicians COMPENSATION: $180,000 ACC AFFILIATION: VICE PRESIDENT</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 2f Other Program Service Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>Educational Programs - Total Revenue: 2131091, Related or Exempt Function Revenue: 2131091, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; OTHER EDUCATIONAL ACTIVITIES - Total Revenue: 1120464, Related or Exempt Function Revenue: 1120464, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; SCIENCE AND QUALITY IMPROVEMENT - Total Revenue: 1259941, Related or Exempt Function Revenue: 1259941, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; ACC Web and Digital Strategy - Total Revenue: 879395, Related or Exempt Function Revenue: 482, Unrelated Business Revenue: 878913, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Cardiosmart - Total Revenue: 2865, Related or Exempt Function Revenue: 2865, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Other Programs and Awards - Total Revenue: 542172, Related or Exempt Function Revenue: 542172, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTING FEES - Total Expense: 1584074, Program Service Expense: 1440561, Management and General Expenses: 143513, Fundraising Expenses: 0; CONT SERV/GENERAL - Total Expense: 7811625, Program Service Expense: 7288143, Management and General Expenses: 523482, Fundraising Expenses: 0; CONT SERV/SUBGRANT - Total Expense: 0, Program Service Expense: 0, Management and General Expenses: 0, Fundraising Expenses: 0; TEMPORARY EMPLOYEES - Total Expense: 1213434, Program Service Expense: 1213434, Management and General Expenses: 0, Fundraising Expenses: 0; INDEPENDENT CONTRACTOR - 1099 - Total Expense: 1488460, Program Service Expense: 1416020, Management and General Expenses: 72440, Fundraising Expenses: 0; TECH CONTRACT - Total Expense: 3254707, Program Service Expense: 3047110, Management and General Expenses: 207597, Fundraising Expenses: 0; CONT SERV/A-V - Total Expense: 3210449, Program Service Expense: 3186192, Management and General Expenses: 24257, Fundraising Expenses: 0; CONT SERV/DECORATION - Total Expense: 1135493, Program Service Expense: 1024031, Management and General Expenses: 111462, Fundraising Expenses: 0; CONT SERV/SECURITY - Total Expense: 522267, Program Service Expense: 520321, Management and General Expenses: 1946, Fundraising Expenses: 0; OTHER CONSULTANTS &amp; CONTRACTOR - Total Expense: 902215, Program Service Expense: 569861, Management and General Expenses: 332354, Fundraising Expenses: 0;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Unrealized gain on interest rate swap - 9159415;</ExplanationTxt>
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