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        <CurrentTaxYearMinus1YearAmt>781217</CurrentTaxYearMinus1YearAmt>
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      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus2YearsAmt>12092</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>17401</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>27468</CurrentTaxYearAmt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>REFUNDS REIMBURSEMENTS ETC - 2022 AMOUNT: $ 2,292.</ExplanationTxt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <ExpensesNotRptFinclStmtAmt>3852</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION HAS ADOPTED AN AGREEMENT FOR THE ESTABLISHMENT AND ADMINISTRATION OF THE ENDOWED FUND (THE "ENDOWMENT") OF THE ACOUSTIC NEUROMA ASSOCIATION. THE FUNDS OF THE ENDOWMENT WILL BE DESIGNATED FOR THE USE OF THE ASSOCIATION TO ENRICH, ENHANCE, AND CARRY OUT ITS CHARITABLE PURPOSE. ALL INCOME AND/OR GAIN ON ENDOWMENT INVESTMENTS ARE INCOME WITHOUT DONOR RESTRICTIONS AND MAY BE DISTRIBUTED TO THE ASSOCIATION AS GENERAL SUPPORT REVENUE FOR ITS PROGRAMS AND OPERATIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION IS EXEMPT FROM THE INCOME TAXES UNDER SECTION 501(C)(3) OF THE UNITED STATES INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS RECORDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE ASSOCIATION'S TAX-EXEMPT PURPOSE IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. IN THE OPINION OF MANAGEMENT, THE ASSOCIATION HAD NO SIGNIFICANT UNRELATED BUSINESS TAXABLE INCOME DURING 2023. ACCORDINGLY, NO PROVISION OR BENEFIT FOR FEDERAL AND STATE INCOME TAXES HAS BEEN RECORDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE ASSOCIATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>COST OF SALES RECLASSED FROM EXPENSE 6,387.</ExplanationTxt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAD 3,100 MEMBERS DURING 2023. MEMBERS HAVE NO VOTING RIGHTS ON ORGANIZATION BUSINESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>INITIALLY FORM 990 IS REVIEWED IN DETAIL BY THE TREASURER AND CHIEF EXECUTIVE OFFICER. THEN THE FORM IS PROVIDED TO ALL BOARD MEMBERS FOR REVIEW AND COMMENT PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ENFORCEMENT OF CONFLICTS POLICY AND ANY POSSIBLE CONFLICT OF INTEREST SHALL BE DISCLOSED IN FULL TO THE BOARD OF DIRECTORS OF THE ANA. SUCH PERSON SHALL ABSTAIN FROM VOTING OR OTHERWISE ATTEMPTING TO INFLUENCE THE DECISIONS ON SUCH MATTERS. THE DISCLOSURE SHALL BE MADE A MATTER OF RECORD WITHIN THE MINUTES OF THE APPROPRIATE MEETING AS WELL AS THE ABSTENTION FROM VOTING. ANNUALLY ANA REQUIRES ALL BOARD MEMBERS AND EMPLOYEES TO SIGN BOTH CONFLICT OF INTEREST AND WHISTLE BLOWER DISCLOSURES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION PROCESS FOR TOP OFFICIAL CEO IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS. THE CEO IS NOT PRESENT IN SUCH MEETINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL GOVERNING DOCUMENTS AVAILABLE UPON REQUEST AT THE HOME OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>NO CHANGE FROM PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
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  </ReturnData>
</Return>
