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      <Desc>THE ABS INCURS COSTS ASSOCIATED WITH THE DEVELOPMENT AND ADMINISTRATION OF EXAMINATIONS FOR CANDIDATES SEEKING INITIAL CERTIFICATION, CONTINUOUS CERTIFICATION, AND FOCUS PRACTICE DESIGNATION BY ABS AND IN ISSUING CERTIFICATES OF QUALIFICATION TO ALL CANDIDATES MEETING THE ABS'S REQUIREMENTS. DURING THE FISCAL YEAR ENDED JUNE 30, 2023, THERE WERE 23,831 INDIVIDUALS WHO TOOK AN EXAMINATION, INCLUDING 11,076 SURGERY RESIDENTS TAKING THEIR IN-TRAINING EXAMINATIONS. 2,002 INDIVIDUALS OBTAINED INITIAL CERTIFICATION, 8,490 TOOK THE CONTINUOUS CERTIFICATION ASSESSMENT FOR GENERAL AND OTHER SPECIALTIES AND 118 TOOK THE METABOLIC AND BARIATRIC SURGERY FOCUSED PRACTICE DESIGNATION. THE TYPES OF EXAMINATIONS THE COSTS ARE INCURRED FOR INCLUDE THE FOLLOWING: IN-TRAINING, QUALIFYING, CERTIFYING, RECERTIFICATION, CONTINUOUS ASSESSMENTS, AND FOCUS PRACTICE DESIGNATION. THE AREAS OF SPECIALTY INCLUDE GENERAL SURGERY, VASCULAR SURGERY, SURGICAL CRITICAL CARE, PEDIATRIC SURGERY, HAND SURGERY, COMPLEX GENERAL SURGICAL ONCOLOGY, AND METABOLIC AND BARIATRIC SURGERY. THE SCORE ARM OF THE ABS INCURS EXPENSES IN PROVIDING HIGH-QUALITY EDUCATIONAL CONTENT IN SUPPORT OF THE SCORE CURRICULUM TO RESIDENTS AND RESIDENCY PROGRAMS VIA THE SCORE PORTAL ON THE ORGANIZATION'S WEBSITE. THE SCORE CURRICULUM IS DESIGNED TO DEFINE THE SPECIALTY OF GENERAL SURGERY AND PROVIDE GREATER ASSURANCE THAT RESIDENTS ARE RECEIVING SUFFICIENT TRAINING IN ALL AREAS. THE CURRICULUM FOCUSES ON THE FIVE YEARS OF PROGRESSIVE EDUCATION AND TRAINING THAT CONSTITUTE GENERAL SURGERY RESIDENCY IN THE U.S., AFTER MEDICAL SCHOOL BUT PRIOR TO INDEPENDENT PRACTICE.THE EPA PROJECT, ALTHOUGH LARGELY DRIVEN BY VOLUNTEER WORK, INCURS EXPENSES FOR THE OVERALL PROJECT LEADS, FACILITATION OF MEETINGS, COMMUNICATIONS, PROFESSIONAL FEES AS WELL AS THE DEVELOPMENT OF A MOBILE-BASED TECHNOLOGY PLATFORM.</Desc>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARK J HICKEY</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALEX MINKOVSKY</PersonNm>
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      <ContractorCompensationGrp>
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          <BusinessName>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>YOCUM TECHNOLOGY GROUP</BusinessNameLine1Txt>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>20947</RelatedOrExemptFuncIncomeAmt>
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      <FeesForServicesAccountingGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ABS IS A NON-PROFIT ORGANIZATION WHICH HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE (IRS) TO BE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501 (C)(6) OF THE INTERNAL REVENUE CODE (IRC). SCORE WAS A NON-PROFIT ORGANIZATION WHICH HAS BEEN DETERMINED BY THE IRS TO BE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501 (C)(4) OF THE IRC. ON SEPTEMBER 16, 2020, SCORE FILED ITS FINAL FEDERAL INCOME TAX RETURN. ABS ACCOUNTS FOR UNCERTAINTIES IN INCOME TAXES IN ACCORDANCE WITH AUTHORITATIVE GUIDANCE, WHICH PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. ABS'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OPERATING EXPENSES. MANAGEMENT DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD FOR THE YEARS ENDED JUNE 30, 2023 AND 2022. ABS'S FEDERAL INCOME TAX RETURNS FOR 2022, 2021, AND 2020 REMAIN SUBJECT TO EXAMINATION BY THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16081</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>298558</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ADANWIMO OKAFOR</PersonNm>
        <TitleTxt>GENERAL COUNSEL &amp; CDEIO</TitleTxt>
        <BaseCompensationFilingOrgAmt>230401</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19354</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11462</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>266217</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRUCE A PERLER MD</PersonNm>
        <TitleTxt>VICE-PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>252461</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>1200</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7610</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>261271</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK J HICKEY</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>182017</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15534</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>26220</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>228771</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JESSICA A SCHREADER</PersonNm>
        <TitleTxt>COS/CAO; BOARD SECRETARY</TitleTxt>
        <BaseCompensationFilingOrgAmt>179313</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15362</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21483</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>221158</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANDREW JONES PHD</PersonNm>
        <TitleTxt>CQRAO</TitleTxt>
        <BaseCompensationFilingOrgAmt>189069</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15504</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11537</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>221110</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARY K MACKEY CPA</PersonNm>
        <TitleTxt>CFO; BOARD TREASURER</TitleTxt>
        <BaseCompensationFilingOrgAmt>168641</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>4375</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>9792</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14387</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1146</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>198341</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CAROL BARRY MARINI PHD</PersonNm>
        <TitleTxt>SENIOR PSYCHOMETRICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>136648</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3625</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11597</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17323</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>169193</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AMIT RT JOSHI MD</PersonNm>
        <TitleTxt>EDITOR-IN-CHIEF, SCORE</TitleTxt>
        <BaseCompensationFilingOrgAmt>161338</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>1200</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>162538</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>JUNE 30, 2022 THE BOARD APPROVED A SEPARATE COMPENSATION COMMITTEE WHICH WAS IN EFFECT FOR ALL OF FY23</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION COMMITTEE, AS PART OF ITS RESPONSIBILITIES IN SETTING EXECUTIVE COMPENSATION, ANNUALLY RECOMMENDS TO THE FULL BOARD, EXECUTIVE BONUSES BASED ON THE ACHIEVEMENT OF ORGANIZATIONAL AND CEO GOALS, RELYING ON A VARIETY OF FACTORS WHILE MAINTAINING THE INTEGRITY OF THE COMPENSATION SETTING PROCESS</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMERICAN BOARD OF SURGERY'S MISSION IS TO SERVE PATIENTS, SOCIETY, AND THE SPECIALTY OF SURGERY BY PROVIDING LEADERSHIP IN SURGICAL EDUCATION AND PRACTICE. THE ABS ENSURES EXCELLENCE THROUGH: BUILDING A DIVERSE, EQUITABLE, AND INCLUSIVE CULTURE; RIGOROUS EVALUATION AND ASSESSMENT AND PROMOTING THE HIGHEST STANDARDS FOR PROFESSIONALISM, LIFELONG LEARNING, AND CONTINUOUS CERTIFICATION OF SURGEONS IN PRACTICE. THE ABS WAS FOUNDED IN 1937 TO PROVIDE BOARD CERTIFICATION TO INDIVIDUALS WHO HAVE MET A DEFINED STANDARD OF EDUCATION, TRAINING AND KNOWLEDGE IN THE FIELD OF SURGERY. SURGEONS CERTIFIED BY THE ABS, KNOWN AS DIPLOMATES, HAVE COMPLETED AT LEAST 5 YEARS OF RESIDENCY TRAINING FOLLOWING MEDICAL SCHOOL, MET ALL ABS TRAINING REQUIREMENTS, AND SUCCESSFULLY COMPLETED THE ABS EXAMINATION PROCESS. ONCE CERTIFIED, ABS DIPLOMATES MUST COMPLETE CONTINUING EDUCATION AND ASSESSMENT ACTIVITIES IN A PROCESS NOW KNOWN AS CONTINUOUS CERTIFICATION. BOARD CERTIFICATION BY THE ABS IS A VOLUNTARY PROCESS THAT DEMONSTRATES A SURGEON'S COMMITMENT TO PROFESSIONALISM, LIFELONG LEARNING, AND QUALITY PATIENT CARE. THE ABS OFFERS BOARD CERTIFICATION IN SURGERY (GENERAL SURGERY), VASCULAR SURGERY, PEDIATRIC SURGERY, SURGICAL CRITICAL CARE, COMPLEX GENERAL SURGICAL ONCOLOGY AND HAND SURGERY. SEPARATE FROM CERTIFICATION, ABS ALSO OFFERS VOLUNTARY FOCUSED PRACTICE DESIGNATION IN METABOLIC AND BARIATRIC SURGERY. THE ABS ALSO STRIVES TO IMPROVE THE EDUCATION OF RESIDENTS IN GENERAL SURGERY AND RELATED SPECIALTIES THROUGH THE DEVELOPMENT OF A NATIONAL CURRICULUM (SCORE). SCORE'S PRIMARY FEATURE, THE SCORE PORTAL, DELIVERS EDUCATIONAL CONTENT ALIGNED WITH THE CURRICULUM TO RESIDENTS, FELLOWS AND TRAINING PROGRAMS. MANY ABS EXAMINATIONS, SUCH AS THE ABSITE AND THE GENERAL SURGERY QUALIFYING EXAM, INCLUDE CONTENT THAT IS ALIGNED WITH SCORE'S CURRICULUM IN ORDER TO STREAMLINE THE LEARNING EXPERIENCE. THE SCORE CURRICULUM IS DESIGNED TO DEFINE THE VARIOUS SURGICAL SPECIALTIES AND PROVIDE GREATER ASSURANCE THAT RESIDENTS AND FELLOWSHIP TRAINEES ARE RECEIVING SUFFICIENT TRAINING IN ALL AREAS. IN ADDITION TO THE ORIGINAL SCORE CURRICULUM FOR GENERAL SURGERY, SCORE'S OFFERINGS HAVE GROWN TO INCLUDE CURRICULUMS FOR VASCULAR SURGERY, PEDIATRIC SURGERY AND SURGICAL CRITICAL CARE, WITH A SURGICAL ONCOLOGY CURRICULUM CURRENTLY IN DEVELOPMENT. THE SCORE CURRICULUM FOR GENERAL SURGERY FOCUSES ON THE FIVE YEARS OF PROGRESSIVE EDUCATION AND TRAINING THAT CONSTITUTE GENERAL SURGERY RESIDENCY IN THE U.S., AFTER MEDICAL SCHOOL BUT PRIOR TO INDEPENDENT PRACTICE, AND HAS BEEN DEVELOPED IN ACCORDANCE WITH THE SIX COMPETENCIES EXPECTED OF A GRADUATING RESIDENT: PATIENT CARE; MEDICAL KNOWLEDGE; PROFESSIONALISM; INTERPERSONAL AND COMMUNICATION SKILLS; PRACTICE-BASED LEARNING; AND SYSTEMS-BASED PRACTICE. THE SCORE CURRICULUMS FOR THE OTHER SURGICAL SPECIALTIES INCLUDE TOPICS TO BE COVERED IN THE YEARS OF TRAINING FOLLOWING RESIDENCY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM PREPARE THE FORM 990. THE FORM IS THEN REVIEWED BY THE ORGANIZATION'S CFO, LEGAL COUNSEL, CAO AND PRESIDENT/CEO AND ANY NEEDED CHANGES OR UPDATES ARE COMMUNICATED BACK TO THE ACCOUNTING FIRM. THE 990 IS REVIEWED IN DETAIL BY THE AUDIT COMMITTEE AND THEN RECOMMENDED FOR APPROVAL BY THE FULL BOARD. ALL BOARD MEMBERS RECEIVE COPIES OF THE FORM 990 BEFORE THE RETURN IS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS ALL DIRECTORS SIGN A DISCLOSURE FORM ANNUALLY ATTESTING TO THE FACT THAT THEY EACH HAVE READ, UNDERSTOOD, AND AGREED TO ABIDE BY THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. ALL NEW DIRECTORS WILL BE REQUIRED TO SIGN THE SAME ATTESTATION UPON THEIR JOINING THE BOARD OF DIRECTORS. IN ADDITION, ANY DIRECTOR, OFFICER, EMPLOYEE, MEMBER OR COMMITTEE MEMBER HAVING AN INTEREST IN A CONTRACT OR OTHER TRANSACTION PRESENTED TO THE BOARD OF DIRECTORS OR A COMMITTEE THEREOF FOR AUTHORIZATION, APPROVAL, OR RATIFICATION SHALL GIVE PROMPT, FULL, AND FRANK DISCLOSURE OF HIS OR HER INTEREST TO THE BOARD OR COMMITTEE PRIOR TO ACTING ON SUCH CONTRACT OR TRANSACTION. THE BOARD OR COMMITTEE SHALL GATHER COMPARABILITY DATA REGARDING A POSSIBLE CONFLICT TO MAKE DETERMINATIONS REGARDING THE FAIRNESS AND REASONABLENESS OF THE TRANSACTION. THE INTERESTED PARTY MAY MAKE A PRESENTATION TO THE BOARD OR COMMITTEE CONCERNING THE TRANSACTION OR ARRANGEMENT AND THE INTERESTED PARTY'S INTEREST IN THE TRANSACTION OR ARRANGEMENT. THE BOARD OR COMMITTEE SHALL THEN DISCUSS THE TRANSACTION OR ARRANGEMENT WITHOUT THE INTERESTED PARTY PRESENT, INCLUDING THE DATA GATHERED ABOUT POSSIBLE MORE ADVANTAGEOUS TRANSACTIONS OR ARRANGEMENTS. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE IN CONFORMITY WITH THIS DETERMINATION, IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>IN JANUARY 2021, THE ABS ENGAGED AN INDEPENDENT COMPENSATION CONSULTANT TO PROVIDE RELEVANT, COMPETITIVE COMPARABLE MARKET COMPENSATION INFORMATION FOR SELECTED EXECUTIVE POSITIONS, INCLUDING THE CEO, VICE-PRESIDENTS, AND GENERAL COUNSEL. THE EXPERT REPORT CONCLUDED THAT ALL EXECUTIVES CURRENT RATES OF TOTAL COMPENSATION ARE REASONABLE. THE COMPENSATION REPORT AND ANALYSIS FOR THE EXECUTIVES WERE REVIEWED AND APPROVED BY THE ABS AUDIT COMMITTEE AND THE BOARD OF DIRECTORS, AS CONFIRMED IN THEIR RESPECTIVE MINUTES AT THAT TIME. IT IS THE POLICY OF THE ABS TO ENGAGE AN INDEPENDENT REVIEW EVERY 2-3 YEARS OR AS CONTRACTS ARE RENEWED; THEREFORE, AN ADDITIONAL, UPDATED REVIEW OF THE CEO COMPENSATION WAS PERFORMED IN APRIL 2022, AS PART OF THE CONTRACT RENEWAL PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER COMPONENTS OF NET PERIODIC PENSION COSTS 2,074,720.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>AUDIT COMMITTEE IS TO OVERSEE THE SELECTION OF AUDITORS AND REVIEW OF AUDITED FINANCIAL STATEMENTS</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
