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        <ReportableCompFromOrgAmt>119167</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>3575</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NICHOLE J WESTIN</PersonNm>
        <TitleTxt>DIR. OF GOVERNMENTAL AFFAIRS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>418635</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>13590</TotalOtherCompensationAmt>
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      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
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            <BusinessNameLine1Txt>AMERICAN COLLEGE OF SURGEONS</BusinessNameLine1Txt>
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          <USAddress>
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            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20001</ZIPCd>
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      <MembershipDuesAmt>128645</MembershipDuesAmt>
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        <Desc>ADVERTISING</Desc>
        <BusinessCd>541800</BusinessCd>
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        <UnrelatedBusinessRevenueAmt>12000</UnrelatedBusinessRevenueAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
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        <FundraisingAmt>55</FundraisingAmt>
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        <FundraisingAmt>2049</FundraisingAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>70715</TotalAmt>
        <ProgramServicesAmt>70715</ProgramServicesAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>40900</TotalAmt>
        <ManagementAndGeneralAmt>40900</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>175</TotalAmt>
        <ManagementAndGeneralAmt>175</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>134734</TotalAmt>
        <ProgramServicesAmt>133355</ProgramServicesAmt>
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        <TotalAmt>33367</TotalAmt>
        <ProgramServicesAmt>22219</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11148</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>41730</TotalAmt>
        <ProgramServicesAmt>20865</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20865</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>9011</TotalAmt>
        <ProgramServicesAmt>1222</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7789</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>122</TotalAmt>
        <ProgramServicesAmt>122</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>1525</ManagementAndGeneralAmt>
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        <Desc>DUES AND SUBSCRIPTIONS</Desc>
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        <ManagementAndGeneralAmt>2833</ManagementAndGeneralAmt>
        <FundraisingAmt>280</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
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      <OtherExpensesGrp>
        <Desc>OTHER TAXES</Desc>
        <TotalAmt>168</TotalAmt>
        <ManagementAndGeneralAmt>168</ManagementAndGeneralAmt>
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        <EOYAmt>1390784</EOYAmt>
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        <EOYAmt>828184</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>12310</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>49589</BOYAmt>
        <EOYAmt>200000</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>7288</BOYAmt>
        <EOYAmt>135154</EOYAmt>
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      <LandBldgEquipAccumDeprecAmt>4225</LandBldgEquipAccumDeprecAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>2566432</EOYAmt>
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        <EOYAmt>33120</EOYAmt>
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      <GrantsPayableGrp>
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      <DeferredRevenueGrp>
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        <EOYAmt>833405</EOYAmt>
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        <EOYAmt>866525</EOYAmt>
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      <NoDonorRestrictionNetAssetsGrp>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>7062</BOYAmt>
        <EOYAmt>7062</EOYAmt>
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        <EOYAmt>1699907</EOYAmt>
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        <BOYAmt>2621143</BOYAmt>
        <EOYAmt>2566432</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-404922</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1014</NetUnrlzdGainsLossesInvstAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
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        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>806242</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1009398</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>824841</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>718534</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>438009</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>1009398</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>824841</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>718534</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>438009</CurrentTaxYearAmt>
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      <SubstantialContributorsTotAmt>1944508</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>1852516</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>6039</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>249</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16326</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>33418</CurrentTaxYearAmt>
        <TotalAmt>69922</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>530</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4948</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8719</CurrentTaxYearAmt>
        <TotalAmt>14197</TotalAmt>
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      <GrossReceiptsRltdActivitiesAmt>2490167</GrossReceiptsRltdActivitiesAmt>
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      <PublicSupportPY170Pct>0.55750</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>REFUNDS - 2019 AMOUNT: $ 530. 2022 AMOUNT: $ 4,948. 2023 AMOUNT: $ 8,719.</ExplanationTxt>
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      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
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      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>1</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>1</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>12812</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>0</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>12812</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>ACIA ADVOCATES IN WASHINGTON TO EXPAND KNOWLEDGE ABOUT COCHLEAR IMPLANTS AND ISSUES OF ACCESS, AND STATE CHAMPIONS MONITOR AND INITIATE PROACTIVE MEASURES TO ADDRESS COCHLEAR IMPLANT INSURANCE COVERAGE AT THE STATE AND FEDERAL LEVELS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>4225</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4225</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>0</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>496266</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>1014</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>12000</OtherRevenueAmt>
      <RevenueNotReportedAmt>13014</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>483252</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>175</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>175</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>483427</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>888174</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>888174</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>175</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>175</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>888349</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ACI ALLIANCE 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 OR THAT WOULD HAVE AN EFFECT ON ITS TAX-EXEMPT STATUS. THERE ARE NO UNRECOGNIZED TAX BENEFITS OR LIABILITIES THAT NEED TO BE RECORDED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>WRITE OFF OF GRANTS PAYABLE 12,000.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
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        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5741</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>4274</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>201375</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROGRAM SERVICE "ADVOCACY" WAS NOT PREVIOUSLY LISTED ON FORM 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE SHALL BE A COMMITTEE OF THE BOARD AND SHALL BE COMPOSED OF THE CHAIR OF THE BOARD, THE VICE CHAIR OF THE BOARD, THE SECRETARY, THE TREASURER, THE CHAIR OF MEMBERSHIP, THE CHAIR OF NOMINATING AND OTHER CHAIRS AS THE BOARD OF DIRECTORS SO DESIGNATES. THE CHAIR SHALL SERVE AS THE CHAIRPERSON AND THE SECRETARY SHALL SERVE AS THE SECRETARY OF THE EXECUTIVE COMMITTEE. THE HONORARY CHAIRMAN OF ACIA MAY ALSO SERVE AS AN EX-OFFICIO, NON-VOTING MEMBER. EXCEPT FOR THE POWER TO AMEND THE ARTICLES OF INCORPORATION AND BYLAWS, THE POWER TO REMOVE OR FILL VACANCIES OF DIRECTORS OR OFFICERS, AND SUCH OTHER POWERS AS MAY BE RESERVED TO THE BOARD BY LAW, THE EXCECUTIVE COMMITTEE SHALL MANAGE THE AFFAIRS OF ACIA REQUIRING ATTENTION BETWEEN THE MEETINGS OF THE BOARD AND SHALL HAVE THE POWER TO CONDUCT THE CURRENT AND ORDINARY BUSINESS OF ACIA WHILE THE BOARD OF DIRECTORS IS NOT IN SESSION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS 2 CLASSES OF MEMBERS; VOTING AND NON-VOTING. CORPORATE MEMBERS HAVE NO VOTING RIGHTS, NOR ARE THEY ELIGIBLE TO HOLD OFFICE. ALL OTHER MEMBERS HAVE VOTING RIGHTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>VOTING MEMBERS OF THE ORGANIZATION HAVE THE POWER TO ELECT OR APPOINT MEMBERS OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR AND TREASURER PRIOR TO FILING. THE EXECUTIVE COMMITTEE IS SENT THE FINAL 990 PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ANNUALLY REVIEWS THEIR CONFLICT OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AMERICAN COCHLEAR IMPLANT ALLIANCE FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 133,355. MANAGEMENT AND GENERAL EXPENSES 1,379. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 134,734.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>WRITE OFF OF GRANTS PAYABLE 12,000.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>