2024-05-12T23:06:28-05:00 2023-06-30 366055558 GRANT THORNTON LLP 1000 WILSON BOULEVARD SUITE 1500 ARLINGTON VA 22209 990 2022-07-01 362192800 AMERICAN COLLEGE OF SURGEONS AMER 3122025000 633 N SAINT CLAIR STREET CHICAGO IL 60611 PAIGE A RODGERS CHIEF FINANCIAL OFFICER 3122025000 2024-05-10 1 PAIGE RODGERS 999009999 0 MARY TORRETTA P00847851 7038477500 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z E CHRISTOPHER ELLISON 633 N SAINT CLAIR STREET CHICAGO IL 60611 218231971 0 X WWW.FACS.ORG X 1912 IL TO IMPROVE THE QUALITY OF CARE OF THE SURGICAL PATIENT THROUGH EDUCATION AND RESEARCH. 23 22 475 2000 -3301836 0 22031157 22546451 85967421 96130803 40688134 7813731 4255567 3022615 152942279 129513600 1867497 2007007 0 0 71126400 75722152 0 0 760083 47735908 62182586 120729805 139911745 32212474 -10398145 657204264 678424966 209703536 201815618 447500728 476609348 X THE AMERICAN COLLEGE OF SURGEONS IS DEDICATED TO IMPROVING THE CARE OF THE SURGICAL PATIENT AND TO SAFEGUARDING STANDARDS OF CARE IN AN OPTIMAL AND ETHICAL PRACTICE ENVIRONMENT. 0 0 46866211 153318 79134586 THE MISSION OF THE ACS DIVISION OF RESEARCH AND OPTIMAL PATIENT CARE (DROPC) IS TO IMPROVE THE QUALITY OF SURGICAL CARE BY ENABLING ALL SURGEONS TO APPLY THE BEST SCIENTIFIC EVIDENCE AVAILABLE IN THEIR DAILY PRACTICE WITH RESPECT, COMPASSION, AND DIGNITY FOR ALL PATIENTS. THE DROPC PROMOTES THE PRACTICE OF EVIDENCE-BASED SURGERY BY DEVELOPING NEW KNOWLEDGE THROUGH BASIC AND CLINICAL RESEARCH, THE SETTING AND VERIFICATION OF STANDARDS, DEVELOPMENT OF BEST PRACTICES AND GUIDELINES, EDUCATIONAL ACTIVITIES, AND THE COLLECTION AND MEASUREMENT OF OUTCOMES. (CONTINUED IN SCH O).(CONTINUED FROM PART III)THE DROPC IS COMPRISED OF THREE FOCUS AREAS: 1. CANCER - THE ACS CANCER PROGRAMS PROVIDE TOOLS, RESOURCES, AND DATA THAT ENABLE CANCER PROGRAMS TO DELIVER COMPREHENSIVE, HIGH-QUALITY, MULTIDISCIPLINARY, EVIDENCE-BASED, PATIENT-CENTERED CARE TO PATIENTS WITH CANCER AND DISEASES OF THE BREAST. IN ORDER TO ACHIEVE THIS MISSION OF PROVIDING CARE, THE SEVEN ACS CANCER PROGRAMS AND FOUR FUNCTIONAL CORE UNITS ARE ACCREDITING 2,100 PROGRAMS, REPORTING ON 1.5 MILLION NEW CANCER CASES, DEVELOPING 6-10 NEW CANCER STAGING PROTOCOLS AND SYNOPTIC OPERATIVE REPORTS, WHILE ALSO MEETING NEW STRATEGIC GOALS. THE MAJOR PROGRAMS WITHIN THE CANCER DEPARTMENT INCLUDE THE COMMISSION ON CANCER (COC), NATIONAL ACCREDITATION PROGRAM FOR BREAST CANCERS (NAPBC), NATIONAL ACCREDITATION PROGRAM FOR RECTAL CANCER (NAPRC), THE NATIONAL CANCER DATABASE (NCDB), THE AMERICAN JOINT COMMITTEE ON CANCER (AJCC), THE CANCER RESEARCH PROGRAM (CRP), AND THE CANCER SURGERY STANDARDS PROGRAM (CSSP). 2. TRAUMA - THE COMMITTEE ON TRAUMA (COT) AND TRAUMA PROGRAMS STAFF OVERSEE AND SUPPORT VARIOUS DIDACTIC AND EXPERIENTIAL TRAUMA COURSES, THE NATIONAL TRAUMA REGISTRY, THE NATIONAL TRAUMA DATA BANK, THE STOP THE BLEED AWARENESS CAMPAIGN, THE VERIFICATION/CONSULTING PROGRAM FOR HOSPITALS, THE TRAUMA SYSTEM CONSULTATION PROGRAM, AND REGIONAL TRAUMA ORGANIZATION OF STATE/PROVINCIAL ACTIVITIES. THE COT IS ALSO ACTIVE IN PRE-HOSPITAL TRAUMA CARE, INJURY PREVENTION AND CONTROL, PERFORMANCE IMPROVEMENT AND PATIENT SAFETY, RURAL TRAUMA, DISASTER MANAGEMENT, AND OUTCOMES STUDIES.3. CONTINUOUS QUALITY IMPROVEMENT (CQI) - THE DROPC'S CONTINUOUS QUALITY IMPROVEMENT (QI) PROGRAMS PROVIDE THE INFRASTRUCTURE FOR SEVERAL QI PROGRAMS, AS WELL AS FOR CONDUCTING HEALTH SERVICES RESEARCH, CLINICAL RESEARCH, LABORATORY RESEARCH, META-ANALYSES, CLINICAL TRIALS, OUTCOME STUDIES, RESEARCH HYPOTHESIS GENERATION, AND THE DEVELOPMENT OF EVIDENCE-BASED PRACTICE GUIDELINES. THE MAJOR QI PROGRAMS WITHIN CQI INCLUDE THE ACS NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAMS (ASC NSQIP), THE CHILDREN'S SURGERY VERIFICATION (CSV) PROGRAM, THE GERIATRIC SURGERY VERIFICATION (GSV) PROGRAM, AND THE METABOLIC AND BARIATRIC SUREGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP). 19726989 20000 11962099 EDUCATIONAL PROGRAMS - THE COLLEGE'S EDUCATIONAL DIVISION SUPPORTS THE EFFORTS OF PRACTICING SURGEONS, SURGERY RESIDENTS, MEDICAL STUDENTS, AND MEMBERS OF SURGICAL TEAMS TO PROVIDE THE BEST CARE TO PATIENTS. THE PROGRAMS PROVIDE SURGEONS WITH OPPORTUNITIES FOR MAINTENANCE OF CERTIFICATION, FOR LIFELONG LEARNING, AND FOR MEETING THE CORE COMPETENCIES FROM THE FIRST DAY OF MEDICAL SCHOOL TO THE LAST DAY OF SURGICAL PRACTICE. IN ADDITION TO PROVIDING CONTINUING MEDICAL EDUCATION ACTIVITIES, THE DIVISION OF EDUCATION HAS DEVELOPED PATIENT EDUCATIONAL MATERIALS RELATIVE TO SURGICAL CARE. DIVISION EFFORTS INCLUDE STAFFING NUMEROUS EDUCATION COMMITTEES AND THE FOLLOWING PROGRAMS: (CONTINUED IN SCH O).(CONTINUED FROM PART III)THE ACS CLINICAL CONGRESS IS AN ANNUAL EDUCATIONAL CONFERENCE FOR SURGEONS, INCLUDING FOUR DAYS OF LECTURES, PANEL SESSIONS, POSTGRADUATE COURSES, PRESENTATION OF SCIENTIFIC PAPERS AND RESEARCH, VIDEO-BASED EDUCATION SESSIONS, AND OTHER EDUCATIONAL ACTIVITIES. IN OCTOBER 2022, THE CLINICAL CONGRESS WAS HELD BOTH ONLINE AND IN PERSON, WELCOMING OVER 9,600 IN PERSON ATTENDEES AND EMBRACING A DIGITAL APPROACH THAT UNLOCKED NEW OPPORTUNITIES FOR SURGEONS EVERYWHERE.THE PUBLICATION, SELECTED READINGS IN GENERAL SURGERY (SRGS), PROVIDES A BROAD, TOPIC-ORIENTED ANALYSIS OF THE CURRENT SURGICAL LITERATURE AND IS AVAILABLE IN PRINT, ONLINE, AND CD-ROM FORMATS. SRGS REVIEWS THE ENTIRE SPECIALTY OF SURGERY EVERY TWO TO THREE YEARS FOR SURGERY RESIDENTS AND PRACTICING SURGEONS AND HAS APPROXIMATELY 2,800 - 3,000 SUBSCRIBERS.SURGICAL EDUCATION AND SELF-ASSESSMENT PROGRAM (SESAP) IS A PREMIERE EDUCATIONAL RESOURCE PROMOTING EXCELLENCE AND EXPERTISE FOR PRACTICING SURGEONS. THE LATEST EDITION COVERS A BREADTH OF GENERAL SURGERY ACROSS SEVEN MODULES AND IS AVAILABLE IN WEB AND PRINT VERSIONS. 8662978 1793690 568468 THE COLLEGE HAS A MEMBER SERVICES DIVISION. THROUGH MEMBER SERVICES, THE COLLEGE CONTINUES TO REMAIN A MAJOR PROFESSIONAL ASSOCIATION, WITH OVER 87,000 MEMBERS. THE DIVERSE MEMBERSHIP REPRESENTS ALL SURGICAL SPECIALISTS, AND MEMBER SURGEONS ARE PROVIDED WITH PROGRAMS AND SERVICES THAT HELP THEM ADAPT TO A CHANGING HEALTH CARE ENVIRONMENT. THE DIVISION EVALUATES ALL APPLICATIONS FOR FELLOWSHIP BASED UPON DEFINED FELLOWSHIP REQUIREMENTS FOR PRACTICING SURGEONS, AS WELL AS ADMITS ASSOCIATE FELLOW, RESIDENT, MEDICAL STUDENT, AND AFFLIATE MEMBERS. (CONTINUED IN SCH O)(CONTINUED FROM PART III)THE DIVISION ALSO STAFFS SEVERAL COMMITTEES INCLUDING THE INTERNATIONAL RELATIONS COMMITTEE, SCHOLARSHIPS COMMITTEE, AND 13 SURGICAL SPECIALTY ADVISORY COUNCILS. THE DIVISION SUPPORTS THE 278 BOARD OF GOVERNORS WHO ADVISE AND COUNCIL THE BOARD OF REGENTS, AND SUPPORTS THE ACTIVITIES OF OVER 100 DOMESTIC AND INTERNATIONAL CHAPTERS. 22188729 40000 4405123 DIVISION OF ADVOCACY AND HEALTH POLICY (DAHP) - THE PURPOSE OF THE HEALTH POLICY AND ADVOCACY GROUP IS TO IDENTIFY PUBLIC POLICY ISSUES AND CONCERNS AFFECTING SURGEONS AND THEIR PATIENTS. DURING 2022, ACS AND MANY OF THE SURGEON MEMBERS IN THE UNITED STATES HAD VERY SUCCESSFUL AND PRODUCTIVE RELATIONSHIPS WITH KEY CONTACTS AT BOTH THE STATE AND FEDERAL LEVELS, AS WELL AS WITH REGULATORY AND HEALTH AGENCIES. THESE RELATIONSHIPS HAVE HELPED EARN SEVERAL NOTEWORTHY ADVOCACY VICTORIES, INCLUDING: REDUCTIONS IN PROPOSED MEDICARE PAYMENT CUTS, INCREASED PUBLIC HEALTH RESEARCH FUNDING FOR THE NIH AND THE CDC, INCREASED FUNDING FOR MILITARY-CIVILIAN TRAUMA PARTNERSHIPS, LAW REQUIRING "STOP THE BLEED" KITS AND OR TRAINING IN AT LEAST EIGHT STATES, FUNDING TO SUPPORT GRADUATE EDUCATION FOR PHYSICIANS, THE RURAL RESIDENCY DEVELOPMENT PROGRAM, AND PROGRAMS TO ADDRESS MENTAL HEALTH AND WELL-BEING IN HEALTHCARE PROFESSIONALS. 22188729 40000 4405123 97444907 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 1 0 1 0 0 0 0 1 1 1 0 0 0 0 0 1 0 0 1 0 0 0 1 1 1 1 0 0 1 X 515 0 1 475 1 1 1 1 CA UK GM FR 0 0 0 0 0 0 0 0 1 0 X 23 22 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X PAIGE A RODGERS 3122025000 633 N SAINT CLAIR STREET CHICAGO IL 60611 LEWIS FLINT EDITOR OF SELECTED READING 40.00 0.00 X 549526 0 601356 PATRICIA L TURNER EXECUTIVE DIRECTOR 38.00 2.00 X 1001129 0 -52853 DAVID B HOYT SENIOR EXECUTIVE ADVISOR (THRU 6/22) 40.00 0.00 X 755654 0 68440 PATRICK V BAILEY MEDICAL DIRECTOR 40.00 0.00 X 697206 0 -50808 CLIFFORD KO DIRECTOR OF RESEARCH 40.00 0.00 X 867141 0 -233913 FRANK G OPELKA MEDICAL DIRECTOR 40.00 0.00 X 678851 0 -62031 AJIT SACHDEVA DIRECTOR OF EDUCATION 40.00 0.00 X 854513 0 -282517 MICHELLE MCGOVERN DIRECTOR OF HUMAN RESOURCES 40.00 0.00 X 545102 0 -123271 GAY L VINCENT CFO 38.00 2.00 X 652266 0 -399504 TIMOTHY J EBERLEIN DIRECTOR / CHAIR (AS OF 10/22) 39.00 1.00 X X 150000 0 0 TYLER G HUGHES SECRETARY (THRU 10/22) 39.00 1.00 X 100710 0 0 PAIGE A RODGERS CFO (AS OF 6/23) 38.00 2.00 X 0 0 0 E CHRISTOPHER ELLISON ACS PRESIDENT (AS OF 10/22) 1.00 2.00 X X 0 0 0 JULIE ANN FREISCHLAG ACS PRESIDENT (THRU 10/22) 1.00 2.00 X X 0 0 0 DON K NAKAYAMA TREASURER 1.00 2.00 X 0 0 0 ANTHONY ATALA DIR / VICE CHAIR (AS OF 10/22) 1.00 1.00 X X 0 0 0 MARY E FALLAT FIRST VP (AS OF 10/22) 1.00 1.00 X 0 0 0 QUAN-YANG DUH FIRST VP (THRU 10/22) 1.00 1.00 X 0 0 0 ANNE G RIZZO SECOND VP (AS OF 10/22) 1.00 1.00 X 0 0 0 RICHARD A LYNN SECOND VP (THRU 10/22) 1.00 1.00 X 0 0 0 SHERRY WREN SECRETARY (AS OF 10/22) 1.00 1.00 X 0 0 0 CAROL L BROWN DIRECTOR 1.00 1.00 X 0 0 0 FRANCOISE P CHAGNON DIRECTOR 1.00 1.00 X 0 0 0 ANNESLEY AJ W COPELAND DIRECTOR 1.00 1.00 X 0 0 0 JAMES C DENNENY III DIRECTOR 1.00 1.00 X 0 0 0 DIANA L FARMER DIRECTOR 1.00 1.00 X 0 0 0 JAMES W FLESHMAN JR DIRECTOR 1.00 1.00 X 0 0 0 JAMES W GIGANTELLI DIRECTOR (THRU 10/22) 1.00 1.00 X 0 0 0 SEAN C GRONDIN DIRECTOR (THRU 10/22) 1.00 1.00 X 0 0 0 ANDREA A HAYES-DIXON DIRECTOR 1.00 1.00 X 0 0 0 FABRIZIO MICHELASSI DIRECTOR 1.00 1.00 X 0 0 0 LENA M NAPOLITANO DIRECTOR 1.00 1.00 X 0 0 0 LINDA G PHILLIPS VICE CHAIR / DIRECTOR (AS OF 10/22) 1.00 1.00 X X 0 0 0 SARWAT SALIM DIRECTOR (AS OF 10/22) 1.00 1.00 X 0 0 0 MARK T SAVARISE DIRECTOR 1.00 1.00 X 0 0 0 KENNETH W SHARP DIRECTOR 1.00 1.00 X 0 0 0 ANTON N SIDAWY CHAIR / DIRECTOR (AS OF 10/22) 1.00 1.00 X X 0 0 0 STEVEN C STAIN MD DIRECTOR 1.00 1.00 X 0 0 0 GARY L TIMMERMAN DIRECTOR 1.00 1.00 X 0 0 0 SHELLY D TIMMONS DIRECTOR 1.00 1.00 X 0 0 0 DAVID J WELSH DIRECTOR 1.00 1.00 X 0 0 0 PHILIP R WOLINSKY DIRECTOR 1.00 1.00 X 0 0 0 DOUGLAS E WOOD DIRECTOR 1.00 1.00 X 0 0 0 6852098 0 -535101 172 0 1 0 IQVIA RDS INC 4820 EMPEROR BLVD DURHAM NC 27703 CONSULTING 7666331 BRUNSWICK GROUP LLC 300 N LASALLE DR 2260 CHICAGO IL 60654 PUBLIC RELATIONS 3730684 IPG DXTRA INC 909 THIRD AVENUE 19TH FL NEW YORK NY 10022 MARKETING 3717387 CAMBRIDGE ASSOCIATES LLC 125 HIGH STREET BOSTON MA 02110 FINANCIAL SERVICES 956945 AVSC HOLDING CORPORATION 5100 NORTH RIVER RD SUITE 300 SCHILLER PARK IL 60176 EVENT PRODUCTION 681124 45 1452649 19204919 1888883 78593 22546451 DROPC 611600 79134586 79134586 EDUCATION 611600 11962099 11865274 96825 ASSOCIATION MANAGEMENT SERVICES 561000 3693895 3693895 INTEGRATED COMMUNICATIONS 900099 771755 771755 MEMBER SERVICES 611600 568468 568468 96130803 4157004 -622939 4779943 1253325 1253325 17200395 16091989 1108406 1108406 -3097050 4205456 76283109 72626382 3656727 3656727 13420 3643307 20F STREET CONFERENCE FACILITY 532000 307908 307908 COMMISSIONS 900099 262951 262951 LOGO MERCHANDISE 900099 34473 34473 55552 55552 660884 129513600 92340083 -3301836 17928902 183130 183130 1656243 1656243 167634 167634 2453886 1698122 734612 21152 52203845 35823024 15943906 436915 8266491 5672584 2524721 69186 9327992 6401001 2848921 78070 3469938 2381121 1059776 29041 613238 327930 283756 1552 229302 229302 1180754 1180754 9915222 9131897 769439 13886 5120578 5040422 56506 23650 9163748 7257272 1879516 26960 14731099 10660520 4050435 20144 32364 30809 1555 1722287 184194 1538093 3984268 3391112 572067 21089 6846786 6340062 488286 18438 1242128 383137 858991 5957332 24485 5932847 733740 37212 696528 BAD DEBT 320866 314767 6099 DUES & FEES 223181 172623 50558 MEDICAL SUPPLIES 165693 165606 87 139911745 97444907 41706755 760083 4976901 3421632 1501139 1157696 24036397 26409003 4583396 5484024 203641392 71895333 136664464 131746059 110918240 98069285 370113311 408034288 0 0 4410416 4102979 657204264 678424966 41515068 36520544 41327879 43552513 11507000 9307000 94375000 92875000 20978589 19560561 209703536 201815618 X 408881752 436247003 38618976 40362345 447500728 476609348 657204264 678424966 X -10398145 31980475 7526290 X 0 1 X 1 1 1 X 20575965 24490356 20932715 22031157 22606978 110637171 85074563 87960154 80908603 85894836 96070276 435908432 105650528 112450510 101841318 107925993 118677254 546545603 17402564 19909467 17169973 18316133 19204919 92003056 0 17402564 19909467 17169973 18316133 19204919 92003056 454542547 14614141 14901568 13929408 22664306 22610724 88720147 21454 21454 14614141 14901568 13950862 22664306 22610724 88741601 778702 781132 77453 170003 352976 2160266 121043371 128133210 115869633 130760302 141640954 637447470 0.71310 0.71420 0.13920 0.13230 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MURPHY AUDITORIUM - 2018 AMOUNT: $ 262,647. 2019 AMOUNT: $ 191,131. 2020 AMOUNT: $ 16,362. COMMISSIONS - 2018 AMOUNT: $ 431,185. 2019 AMOUNT: $ 367,839. 2020 AMOUNT: $ 3,737. 2021 AMOUNT: $ 94,908. 2022 AMOUNT: $ 262,951. MISCELLANEOUS - 2018 AMOUNT: $ 84,870. 2019 AMOUNT: $ 222,162. 2020 AMOUNT: $ 47,012. 2021 AMOUNT: $ 59,755. 2022 AMOUNT: $ 55,552. REGISTRATION LISTS - 2021 AMOUNT: $ 15,340. LOGO MERCHANDISE - 2020 AMOUNT: $ 10,342. 2022 AMOUNT: $ 34,473. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 1 20000 0 0 1 4618 0 0 24618 0 PART II-B, LINE 1: DESCRIPTION OF LOBBYING FOR NON-ELECTING PUBLIC CHARITIES SCHEDULE C, PART II-B: VOLUNTEERS & PAID STAFF OR MANAGEMENT LINES 1A & 1B: THE AMERICAN COLLEGE OF SURGEONS HAS VOLUNTEERS AND STAFF IN WASHINGTON D.C. WHICH, AS A PART OF THEIR DUTIES FOR THE COLLEGE, ESTABLISHES CONTACTS AND MAINTAINS LIAISON WITH MEMBERS OF CONGRESS AND THEIR STAFF, GOVERNMENT AGENCIES, AND OTHER HEALTH REGULATED ORGANIZATIONS IN ORDER TO EXCHANGE INFORMATION PERTINENT TO SURGERY. TO DO THIS THEY: (1) COMMUNICATE COLLEGE VIEWS ON LEGISLATION AND REGULATIONS TO STAFF AND MEMBERS OF CONGRESS THROUGH PERSONAL VISITS, TELEPHONE CONVERSATIONS, AND LETTERS. (2) ORGANIZE AND PARTICIPATE IN COALITIONS OF ORGANIZATIONS WITH RELATED LEGISLATIVE INTEREST. (3) ARRANGE AND FACILITATE MEETINGS FOR COLLEGE OFFICIALS AND MEMBERS WITH ELECTED LEGISLATORS AND STAFF. (4) ARRANGE FOR COLLEGE OFFICIALS TO PRESENT TESTIMONY AT CONGRESSIONAL HEARINGS AND DRAFT AND PRODUCE TESTIMONY AND OFFICIAL WRITTEN RESPONSES TO LEGISLATIVE PROPOSALS. MAILING TO MEMBERS, LEGISLATORS, OR THE PUBLIC LINE 1D: THE COLLEGE COMMUNICATES VIEWS ON LEGISLATION AND REGULATIONS TO STAFF AND MEMBERS OF CONGRESS THROUGH LETTERS AND DIRECT CONTACT WITH LEGISLATORS, THEIR STAFF, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY. LINE 1G: AS DISCUSSED IN LINE 1B ABOVE, THE WASHINGTON STAFF MAINTAINS LIAISONS WITH MEMBERS OF CONGRESS, THEIR STAFF, AND GOVERNMENT AGENCIES TO EXCHANGE INFORMATION PERTINENT TO SURGERY. THE MAJOR ISSUES UNDER DISCUSSION ARE RELATED TO MEDICARE FEE SCHEDULE, FUNDING FOR TRAUMA SYSTEM DEVELOPMENT, HEATH CARE QUALITY, AND MEDICAL LIABILITY REFORM. 227022729 17804 18641485 2298712 7862380 235520926 254470999 40660 -17572126 2141951 7774853 227022729 199129452 22631 64746787 1969127 7458744 254470999 216096631 12700 -6913289 1992665 8073925 199129452 220774682 32915 5316613 2513772 7513807 216096631 0.91090 0.02820 0.06090 0 0 39350905 39350905 134612793 52881003 81731790 29677694 19014330 10663364 131746059 ALT. INV. - PRIVATE 113760740 F INTERNATIONAL EQUITY 76667905 F ALT. INV. - LONG SHORT 58631597 F ALT.. INV. - ABSOLUTE RETURN 41802350 F GLOBAL EQUITY 35878397 F U.S. LARGE CAP EQUITY 35353444 F EMERGING EQUITY 19241624 F FIXED INCOME 13176867 F ENERGY EQUITY 8165296 F ALT. INV - COMMODITIES 5356068 F 408034288 FUNDS HELD FOR OTHERS 11520921 DUE TO AFFILIATES 7468719 OBLIGATIONS UNDER CAPITAL LEASES 570921 19560561 X PART V, LINE 4: INTENDED USE OF ENDOWMENT FUNDS THE ENDOWMENT FUNDS ARE INTENDED TO PROVIDE AND ENSURE THAT EDUCATION, RESEARCH, SCHOLARSHIPS, BUILDING FACILITIES AND THE COLLEGE AS A WHOLE HAVE ENOUGH FUNDING TO LAST DURING HARD ECONOMIC TIMES, WHILE PROVIDING THE OPERATIONS OF THE COLLEGE AN ANNUAL 5% SPENDING RATE. PART V, LINE 1(E) ENDOWMENT FUNDS AND AUDITED FINANCIAL STATEMENTS THE AMOUNT REPORTED ON PART V, LINE 1(E) REPRESENTS THE 5% ANNUAL SPENDING AMOUNT THAT WAS TRANSFERRED INTO OPERATING AND SPENT TO SUPPORT THE ACS MISSION, AND THEREFORE WAS MOVED TO LINE E OTHER EXPENDITURES. PART X, LINE 2: FIN 48 (ASC 740) FOOTNOTE AMERICAN COLLEGE OF SURGEONS IS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). EXCEPT FOR TAXES RELATING TO UNRELATED BUSINESS INCOME, ACS IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. THE COLLEGE DOES NOT BELIEVE THAT THERE ARE ANY UNRECOGNIZED TAX BENEFITS OR TAX LIABILITIES THAT SHOULD BE RECORDED AS OF JUNE 30, 2023 AND 2022. 1 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 INVESTMENT 16893048 NORTH AMERICA 0 0 INVESTMENT 3443855 SUB-SAHARAN AFRICA 0 0 GRANTMAKING 59975 NORTH AMERICA 0 0 GRANTMAKING 42800 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 GRANTMAKING 30000 SOUTH AMERICA 0 0 GRANTMAKING 20859 SOUTH ASIA 0 0 GRANTMAKING 14000 0 0 0 0 0 0 20504537 0 20504537 INTERNATIONAL GUEST SCHOLAR SUB-SAHARAN AFRICA 3 30000 WIRE RESIDENT RESEARCH SCHOLARSHIP NORTH AMERICA 1 30000 CHECK INTERNATIONAL SCHOLARSHIPS FOR SURGICAL EDUCATION SUB-SAHARAN AFRICA 2 20000 WIRE DR. PON FUND INTERNATIONAL CHAPTER OPPORTUNITY SOUTH AMERICA 1 10859 WIRE THE JOHN D. CORSON GUEST SCHOLARSHIP EUROPE (INCLUDING ICELAND & GREENLAND) 1 10000 WIRE INTERNATIONAL SCHOLARSHIPS FOR SURGICAL EDUCATION EUROPE (INCLUDING ICELAND & GREENLAND) 1 10000 WIRE INTERNATIONAL GUEST SCHOLAR SOUTH AMERICA 1 10000 WIRE INTERNATIONAL GUEST SCHOLAR SOUTH ASIA 1 10000 WIRE INTERNATIONAL GUEST SCHOLAR EUROPE (INCLUDING ICELAND & GREENLAND) 1 10000 WIRE INTERNATIONAL GUEST SCHOLAR NORTH AMERICA 1 5000 WIRE ACS/AAST INTERNATIONAL SCHOLARSHIP SUB-SAHARAN AFRICA 1 5000 WIRE ACS/ASBRS INTERNATIONAL SCHOLARSHIP NORTH AMERICA 1 5000 WIRE 1 0 1 1 1 0 PART I, LINE 2: PROCEDURE FOR MONITORING USE OF GRANT FUNDS OUTSIDE U.S. THE AMERICAN COLLEGE OF SURGEONS OFFERS VARIOUS AWARDS AND SCHOLARSHIPS EACH YEAR. EACH AWARD HAS A REQUIREMENTS BROCHURE AND SAMPLES CAN BE FOUND ON HTTPS://WWW.FACS.ORG/FOR-MEDICAL-PROFESSIONALS/PROFESSIONAL- GROWTH-AND-WELLNESS/SCHOLARSHIPS-FELLOWSHIPS-AND-AWARDS/. THE COLLEGE HAS A SELECTION COMMITTEE WHO IS RESPONSIBLE FOR DECIDING WHO RECEIVES THESE AWARDS. AWARDEES PROVIDE A BUDGET FOR LARGER AWARDS AND ARE REQUIRED TO SUBMIT ANNUAL AND FINAL NARRATIVE AND SIMPLE FINANCIAL REPORTS UPON COMPLETION OF THE PROJECT. THE MEMBER SERVICES DIVISION EMPLOYS AN INTERNATIONAL LIAISON AND SCHOLARSHIPS ADMINISTRATOR TO MONITOR AND OVERSEE THIS PROGRAM. PART I, LINE 3: THE INVESTMENTS AND EXPENDITURE AMOUNTS ARE REPORTED ON AN ACCRUAL METHOD OF ACCOUNTING. PART IV: FOREIGN FORMS AMERICAN COLLEGE OF SURGEONS INVESTS IN DOMESTIC AND FOREIGN LIMITED PARTNERSHIPS AND OTHER CORPORATIONS THAT MAY OWN INTEREST IN A FOREIGN CORPORATION, PASSIVE FOREIGN INVESTMENT COMPANY, OR FOREIGN PARTNERSHIP. NEVERTHELESS, ACS'S INVESTMENT ACTIVITIES MAY NOT REACH THE THRESHOLDS REQUIRED FOR FILING FORMS 926, 5471, 8621, OR 8865. TO THE EXTENT SUCH A FORM WAS COMPLETED, IT HAS BEEN FILED WITH THE ORGANIZATION'S FORM 990-T. PART III ACCOUNTING METHOD: 1 COALITION FOR NATIONAL TRAUMA RESEARCH 9901 IH 10 WEST STE 720 SAN ANTONIO TX 78230 320170279 501(C)(3) 35000 0 GENERAL SUPPORT NATIONAL ACADEMY OF SCIENCES 500 5TH STREET NW WASHINGTON DC 20001 530196932 501(C)(3) 7500 0 GENERAL SUPPORT TENNESSEE CHAPTER ACS 600 12TH AVENUE SOUTH 204 NASHVILLE TN 37203 911943402 501(C)(6) 12000 0 SCHOLARSHIP SUPPORT SOCIETY FOR VASCULAR SURGERY FOUNDATION 35312 EAGLE WAY CHICAGO IL 60678 043580038 501(C)(3) 125000 0 SCHOLARSHIP SUPPORT 3 1 RESIDENT RESEARCH SCHOLARSHIP 11 322500 FACULTY RESEARCH SCHOLARSHIP 8 316130 CLOWES AWARD 5 225000 CLINICAL SCHOLAR IN RESIDENCE 2 223813 NATIONAL SURGEON SCIENTIST PROGRAM 2 200000 ACS/TRIOLOGICAL SOCIETY AWARD 3 140000 HEALTH POLICY SCHOLARSHIP 18 71800 ACS/AMERICAN FOUNDATION FOR SURGERY OF THE HAND RESEARCH CAREER DEVELOPMENT AWARD 1 40000 DEI & A AWARD 7 35000 THE JACOBSON PROMISING INVESTIGATOR AWARD 1 30000 NIZAR N. OWEIDA, MD, FACS, SCHOLARSHIP 2 10000 TRAVELING FELLOWSHIP TO JAPAN 1 10000 TRAVELING FELLOWSHIP TO AUSTRALIA AND NEW ZEALAND 1 10000 ACS-MACLEAN CENTER SURGICAL ETHICS FELLOWSHIP 2 10000 ORGAN TRAVELING FELLOWSHIP 1 5000 GERALD B. HEALY, MD, FACS, TRAVELING MENTORSHIP FELLOWSHIP 1 5000 MEDICAL STUDENT TRAVEL AWARD 1 2000 PART I, LINE 2: PROCEDURE FOR MONITORING GRANT FUNDS INSIDE U.S. THE AMERICAN COLLEGE OF SURGEONS OFFERS VARIOUS AWARDS AND SCHOLARSHIPS EACH YEAR. EACH AWARD HAS A REQUIREMENTS BROCHURE AND SAMPLES CAN BE FOUND ON HTTPS://WWW.FACS.ORG/FOR-MEDICAL-PROFESSIONALS/PROFESSIONAL-GROWTH- AND-WELLNESS/SCHOLARSHIPS-FELLOWSHIPS-AND-AWARDS/. THE COLLEGE HAS A SELECTION COMMITTEE WHO IS RESPONSIBLE FOR DECIDING WHO RECEIVES THESE AWARDS. AWARDEES PROVIDE A BUDGET FOR LARGER AWARDS AND ARE REQUIRED TO SUBMIT ANNUAL AND FINAL NARRATIVE AND FINANCIAL REPORTS. SMALLER AWARDS REQUIRE A NARRATIVE AND SIMPLE FINANCIAL REPORT UPON COMPLETION OF THE PROJECT. THE MEMBER SERVICES DIVISION EMPLOYS AN INTERNATIONAL LIAISON AND SCHOLARSHIPS ADMINISTRATOR TO MONITOR AND OVERSEE THE PROGRAM. X X X 1 1 X X X X 0 0 0 0 0 0 0 1 0 LEWIS FLINT EDITOR OF SELECTED READING 547421 0 1487 0 618 0 573527 0 27829 0 1150882 0 0 0 PATRICIA L TURNER EXECUTIVE DIRECTOR 1000012 0 841 0 276 0 -54271 0 1418 0 948276 0 0 0 DAVID B HOYT SENIOR EXECUTIVE ADVISOR (THRU 6/22) 755345 0 0 0 309 0 54525 0 13915 0 824094 0 0 0 PATRICK V BAILEY MEDICAL DIRECTOR 673828 0 768 0 22610 0 -91440 0 40632 0 646398 0 0 0 CLIFFORD KO DIRECTOR OF RESEARCH 865546 0 1079 0 516 0 -233913 0 0 0 633228 0 0 0 FRANK G OPELKA MEDICAL DIRECTOR 676529 0 798 0 1524 0 -89860 0 27829 0 616820 0 0 0 AJIT SACHDEVA DIRECTOR OF EDUCATION 847084 0 1116 0 6313 0 -310346 0 27829 0 571996 0 0 0 MICHELLE MCGOVERN DIRECTOR OF HUMAN RESOURCES 543758 0 1068 0 276 0 -163903 0 40632 0 421831 0 0 0 GAY L VINCENT CFO 648683 0 1111 0 2472 0 -440136 0 40632 0 252762 0 0 0 PART I, LINE 1A PER IRS REGULATIONS TRAVEL FOR COMPANIONS IS A TAXABLE EVENT. ACS WILL PROVIDE COMPENSATION TO LEADERSHIP EQUAL TO THE TAX IMPACT OF APPROVED AND REIMBURSED SPOUSE TRAVEL EXPENSES. ACS ALSO HAS A TRAVEL POLICY FOR THE PRESIDENT THAT ALLOWS FOR FIRST CLASS TRAVEL IN SPECIAL SITUATIONS. IF BUSINESS CLASS IS NOT AVAILABLE, FIRST-CLASS TRAVEL WILL BE PERMITTED. PART I, LINE 7: DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2023, NON-FIXED BONUS PAYMENTS WERE MADE TO A NUMBER OF INDIVIDUALS LISTED WITHIN SCHEDULE J, PART II AS SHOWN IN COLUMN B(II). BONUS PAYMENTS ARE NOT CONTINGENT ON PERSONAL PERFORMANCE NOR ON THE FINANCIAL PERFORMANCE OF ACS, BUT ARE AWARDED TO ALL EMPLOYEES BASED ON THE DURATION OF TIME THAT THEY HAVE BEEN AN EMPLOYEE OF ACS. OTHER NON-FIXED PAYMENTS SUCH AS SEVERANCE ARE AVAILABLE TO THESE INDIVIDUALS LISTED, HOWEVER NO SEVERANCE PAYMENTS WERE MADE DURING THE CALENDAR YEAR. TIMOTHY J EBERLEIN BOARD MEMBER 151664 CONTRACTOR 0 TYLER G HUGHES OFFICER 101041 CONTRACTOR 0 SCHEDULE L, PART IV, LINE 1: BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: TIMOTHY J. EBERLEIN AND TYLER G. HUGHES, BOARD MEMBERS OF THE AMERICAN COLLEGE OF SURGEONS, PROVIDED INDEPENDENT CONTRACTOR SERVICES TO THE ORGANIZATION. THE INDEPENDENT CONTRACTOR SERVICES WITH THE BOARD MEMBERS WERE CONDUCTED AT ARM'S LENGTH AND FAIR MARKET VALUE. PLEASE REFERENCE SCHEDULE O FOR ADDITIONAL INFORMATION ON THE ACS CONFLICT OF INTEREST POLICY. X 10500 78593 COST 0 1 0 PART I, COLUMN (B): NUMBER OF CONTRIBUTIONS OR ITEMS CONTRIBUTED AMERICAN COLLEGE OF SURGEONS IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART VI, SECTION A, LINE 1A MATERIAL DIFFERENCES IN VOTING RIGHTS ACCORDING TO ARTICLE V, SECTION 2, SUBPARAGRAPH (A) OF THE BYLAWS, IT STATES "DURING THE INTERVALS BETWEEN MEETINGS OF THE BOARD OF REGENTS, THE EXECUTIVE COMMITTEE SHALL EXERCISE THE POWERS OF THE BOARD OF REGENTS IN THE MANAGEMENT AND DIRECTION OF THE BUSINESS AND THE CONDUCT OF THE AFFAIRS OF THE COLLEGE, EXCEPT THAT IT SHALL NOT HAVE POWER TO ELECT FELLOWS; AMEND THE BYLAWS; OR REGULATE FEES, DUES, OR ASSESSMENTS. IT SHALL KEEP A RECORD OF ITS PROCEEDINGS AND SHALL, AFTER EACH MEETING, REPORT THE SAME TO THE REGENTS FOR APPROVAL AT THE NEXT SUCCEEDING MEETING OF THE BOARD OF REGENTS." FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS THE 990 FORMS ARE COMPLETED BY THE ACS ACCOUNTING DEPARTMENT AND REVIEWED BY OUTSIDE TAX PROFESSIONALS. ONCE OUTSIDE TAX PROFESSIONALS REVIEW AND RECOMMEND CHANGES, THE ACCOUNTING DEPARTMENT FINALIZES THE 990 FORMS. THE ACS CFO REVIEWS AND SIGNS THE FORMS AND THE ACS ACCOUNTING DEPARTMENT PROVIDES A COPY OF THE RETURN TO THE BOARD OF DIRECTORS. THE ACS ACCOUNTING DEPARTMENT THEN FILES THE RETURN WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENT THE COLLEGE HAS CONFLICTS OF INTEREST POLICIES FOR EMPLOYEES, CONSULTANTS, AND BOARD MEMBERS. ALL EMPLOYEES, CONSULTANTS, AND BOARD MEMBERS ARE REQUIRED TO SIGN A DISCLOSURE STATEMENT EACH YEAR, WHICH ARE COLLECTED AND DISSEMINATED BY THE CHIEF FINANCIAL OFFICER'S OFFICE. THERE IS ALSO AN ACS CONFLICT OF INTEREST COMMITTEE THAT MEETS PERIODICALLY AS THE NEED ARISES TO DISCUSS ISSUES THAT RELATE TO CONFLICT OF INTEREST. THE COMMITTEE ACCOUNTS FOR THE RECEIPT OF DISCLOSURE STATEMENTS AND FOLLOWS UP ON ANY ISSUES. THIS INFORMATION IS THEN REPORTED TO THE ACS FINANCE COMMITTEE OF THE BOARD OF REGENTS. IF THE ACS FINANCE COMMITTEE FEELS THERE ARE CONFLICTS THAT ARE QUESTIONABLE IN NATURE, THEY ARE REPORTED TO THE ACS BOARD OF REGENTS CHAIR AND TREASURER FOR ACTION. THE BOARD OF REGENTS EXECUTIVE COMMITTEE SHALL TAKE ACTION ON ANY PRESUMED OR POTENTIAL VIOLATION OF THIS POLICY BY A MEMBER OF LEADERSHIP TO ENSURE THAT A CONFLICT OF INTEREST DOES NOT ARISE OR DOES NOT CONTINUE. IN ADDITION TO ANY LEGAL PENALTIES, SUCH ACTION MAY INCLUDE, BUT SHALL NOT BE LIMITED TO, ORAL ADMONISHMENT, WRITTEN REPRIMAND, RESIGNATION, AND RESTITUTION. A MEMBER WHO DISAGREES WITH THE FINDINGS OR RECOMMENDATIONS OF THE FINANCE COMMITTEE OR THE ACTION OF THE BOARD OF REGENTS EXECUTIVE COMMITTEE MAY APPEAL THE DECISION TO THE BOARD OF REGENTS. FORM 990, PART VI, SECTION B, LINE 15 PROCESS FOR DETERMINING COMPENSATION THE COLLEGE HAS POLICIES AND PROCEDURES CONCERNING COMPENSATION INCREASES, PERFORMANCE EVALUATIONS, AND JOB EVALUATIONS. IN ADDITION, MERIT INCREASES ARE INCLUDED AS A BUDGET PARAMETER FOR REVIEW BY THE FINANCE COMMITTEE AS IS THE ADDITION OF ANY NEW EMPLOYEE OR HUMAN RESOURCE BENEFIT PROPOSAL. THE COLLEGE HAS AN EXECUTIVE COMPENSATION COMMITTEE AS A SUBCOMMITTEE TO THE FINANCE COMMITTEE THAT MEETS ANNUALLY. THE COMMITTEE IS COMPOSED OF THE BOARD OF REGENTS CHAIR, BOARD OF REGENTS TREASURER, BOARD OF GOVERNORS SECRETARY, AND A MEMBER OF THE FINANCE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE'S PURPOSE IS AS FOLLOWS: TO ESTABLISH PROCEDURES TO CREATE A "REBUTTABLE PRESUMPTION OF REASONABLENESS" IN CONNECTION WITH IRS INTERMEDIATE SANCTIONS REGULATIONS. RESPONSIBILITIES ARE TO ENSURE THAT COMPENSATION FOR EACH "DISQUALIFIED PERSON" IS REASONABLE. HUMAN RESOURCES PROVIDES COMPARABILITY DATA TO THE COMMITTEE IN THE FORM OF SURVEYS, OTHER SIMILAR ORGANIZATIONS, GEOGRAPHICAL COMPARISONS, AND ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS FOR THE SERVICES OF THE DISQUALIFIED PERSON. THE COMMITTEE DOCUMENTS THE BASIS FOR ALL COMPENSATION DETERMINATIONS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS MADE AVAILABLE TO PUBLIC THE BYLAWS ARE AVAILABLE ON OUR WEBSITE. THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: PENSION ADJUSTMENT 7,723,282. OVER ACCRUAL TAX ADJUSTMENT 305,965. CHANGE IN FUNDS HELD FOR OTHERS -502,957. ACS EAST ONTARIO LLC 633 N SAINT CLAIR STREET CHICAGO IL 60611 362192800 RE INVESTMENT IL 0 0 ACS AMERICAN COLLEGE OF SURGEONS PROF ASSOC 633 N SAINT CLAIR STREET CHICAGO IL 60611 300079883 ED IN SURGERY IL 501(C)(6) ACS 1 ACSPA SURGEONS PAC 633 N SAINT CLAIR STREET CHICAGO IL 60611 141849039 POLITICAL ACT IL 501(C)(27) ACSPA 1 AMERICAN COLLEGE OF SURGEONS FOUNDATION 633 N SAINT CLAIR STREET CHICAGO IL 60611 300305504 SURGICAL EDU IL 501(C)(3) LINE 7 ACS 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 AMERICAN COLLEGE OF SURGEONS PROF ASSOC C 18656265 COST AMERICAN COLLEGE OF SURGEONS PROF ASSOC M 2552240 COST AMERICAN COLLEGE OF SURGEONS PROF ASSOC O 585600 COST AMERICAN COLLEGE OF SURGEONS PROF ASSOC Q 700055 COST AMERICAN COLLEGE OF SURGEONS FOUNDATION C 548654 COST SCHEDULE R, PART I: ACS EAST ONTARIO (ACSEO) WAS INCORPORATED ON MARCH 5, 2008, AS A SUBSIDIARY THAT IS A LIMITED LIABILITY CORPORATION (LLC), A DISREGARDED ENTITY FOR FEDERAL INCOME TAX PURPOSES. ACSEO WAS ESTABLISHED TO PURCHASE A RESIDENTIAL PROPERTY LOCATED ADJACENT TO THE COLLEGE'S CHICAGO, ILLINOIS HEADQUARTERS BUILDING. MANAGEMENT OF ACSEO AFFAIRS IS VESTED IN THE COLLEGE. THE RESIDENTIAL PROPERTY WAS SOLD IN FISCAL 2022, AND THEN THE ENTITY WAS TERMINATED EFFECTIVE JULY 8, 2022.