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        <TotalAmt>437280</TotalAmt>
        <ProgramServicesAmt>437280</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>EQUITY DISTRIBUTION</Desc>
        <TotalAmt>86590</TotalAmt>
        <ProgramServicesAmt>86590</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>WEBSITE</Desc>
        <TotalAmt>3000</TotalAmt>
        <ProgramServicesAmt>3000</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>AWARDS</Desc>
        <TotalAmt>2500</TotalAmt>
        <ProgramServicesAmt>2500</ProgramServicesAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>1377543</TotalAmt>
        <ProgramServicesAmt>1377543</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1372138</BOYAmt>
        <EOYAmt>484411</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>75100</BOYAmt>
        <EOYAmt>61465</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>67345</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
        <BOYAmt>479860</BOYAmt>
        <EOYAmt>541415</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>1987615</BOYAmt>
        <EOYAmt>1154636</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1356244</BOYAmt>
        <EOYAmt>472658</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1356244</BOYAmt>
        <EOYAmt>472658</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>631371</BOYAmt>
        <EOYAmt>681978</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>631371</BOYAmt>
        <EOYAmt>681978</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1987615</BOYAmt>
        <EOYAmt>1154636</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>1</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>50606</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleC documentId="990C">
      <SubstantiallyAllDuesNondedInd>false</SubstantiallyAllDuesNondedInd>
      <OnlyInHouseLobbyingInd>true</OnlyInHouseLobbyingInd>
      <AgreeCarryoverPriorYearInd>false</AgreeCarryoverPriorYearInd>
    </IRS990ScheduleC>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Management duties delegation Part VI line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION CONTRACTED THE AMERICAN COLLEGE OF SURGEONS FOR MANAGEMENT AND ADMINISTRATIVE SERVICES. DURING THE TAX YEAR, THE AMERICAN COLLEGE OF SURGEONS WAS PAID FOR THESE SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Members or stockholder classes and rights Part VI line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MEMBERS CONSIST OF THE FOLLOWING ORGANIZATIONS: AMERICAN BRONCHO-ESOPHAGOLOGICAL ASSOCIATION, AMERICAN HEAD AND NECK SOCIETY, AMERICAN LARYNGOLOGICAL ASSOCIATION, AMERICAN NEUROTOLOGY SOCIETY, AMERICAN OTOLOGICAL SOCIETY, AMERICAN RHINOLOGIC SOCIETY, AMERICAN SOCIETY OF PEDIATRIC OTOLARYNGOLOGY, AMERICAN SOCIETY OF FACIAL &amp; RECONSTRUCTIVE SURGERY, AND THE TRIOLOGICAL SOCIETY. ACTIVE MEMBERS OF THE ORGANIZATION VOTE FOR ONE CANDIDATE FOR EACH OPEN OFFICE ON THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Member election for additional members Part VI line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>ACTIVE MEMBERS OF THE ORGANIZATION VOTE FOR ONE CANDIDATE FOR EACH OPEN OFFICE ON THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS ROUTED TO THE BOARD OF DIRECTORS FOR REVIEW AND COMMENTS PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 availability to public Part VI line 18</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, POLICIES AND FNANCIAL STATEMENTS ARE MAINTAINED BY THE AMERICAN COLLEGE OF SURGEONS AND MAY BE REVIEWED UPON WRITTEN REQUEST OR AT THE ACS OFFICES LOCATED AT 633 N. ST. CLAIR STREET IN CHICAGO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, POLICIES AND FNANCIAL STATEMENTS ARE MAINTAINED BY THE AMERICAN COLLEGE OF SURGEONS AND MAY BE REVIEWED UPON WRITTEN REQUEST OR AT THE ACS OFFICES LOCATED AT 633 N. ST. CLAIR STREET IN CHICAGO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III response or note to any other line in Part III</FormAndLineReferenceDesc>
        <ExplanationTxt>COSM IS THE PREMIER EDUCATIONAL AND TECHNOLOGICAL FORUM FOR PROVIDING THE OPPORTUNITY TO MEET AND SHARE, EXCHANGE AND DISCUSS THE LATEST RESEARCH ADVANCES AND TOPICS IN THE FIELD OF OTOLARYNGOLOGY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>