2023-05-12T14:52:05-05:00 2022-06-30 366055558 GRANT THORNTON LLP 171 N CLARK ST SUITE 200 CHICAGO IL 60601 990 2021-07-01 362192800 AMERICAN COLLEGE OF SURGEONS AMER 3122025000 633 N SAINT CLAIR STREET CHICAGO IL 60611 GAY L VINCENT CHIEF FINANCIAL OFFICER 3122025000 2023-05-12 1 GAY VINCENT 999009999 BRIDGET T ROCHE P00666837 3128560200 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z JULIE ANN FREISCHLAG 633 N SAINT CLAIR STREET CHICAGO IL 60611 346041785 0 X WWW.FACS.ORG X 1912 IL TO IMPROVE THE QUALITY OF CARE OF THE SURGICAL PATIENT THROUGH EDUCATION AND RESEARCH. 24 23 462 100 -882169 0 21081922 22031157 80925657 85967421 41905519 40688134 4522487 4255567 148435585 152942279 1962144 1867497 0 0 71087457 71126400 0 0 684465 44744611 47735908 117794212 120729805 30641373 32212474 699715170 657204264 221953184 209703536 477761986 447500728 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 44477291 45000 74904273 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 ALL ASPECTS OF 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, MULTIDISCIPLENARY, EVIDENCE-BASED, PATIENT-CENTERED CARE TO PATIENTS WITH CANCER AND DISEASES OF THE BREAST. IN ORDER TO ACHIEVE THIS MISSION OF IMPROVING 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 THE 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/CONSULTATION 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 PROGRAM (ACS NSQIP), THE CHILDREN'S SURGERY VERIFICATION (CSV) PROGRAM, THE GERIATRIC SURGERY VERIFICATION (GSV) PROGRAM, AND THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP). 14184852 1667 6576876 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, PRESENTATIONS OF SCIENTIFIC PAPERS AND RESEARCH, VIDEO-BASED EDUCATION SESSIONS, AND OTHER EDUCATIONAL ACTIVITIES. IN OCTOBER 2021, THE CLINICAL CONGRESS WAS HELD FULLY ONLINE AND ON-DEMAND, 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 PRIMER EDUCATIONAL RESOURCE PROMOTING EXCELLENCE AND EXPERISE FOR PRACTICING SURGEONS. THE LATEST EDITION COVERS A BREADTH OF GENERAL SURGERY IN THIRTEEN CONTENT CATEGORIES AND IS AVAILABLE IN WEB AND PRINT VERSIONS. 6866700 1790830 848758 THE COLLEGE HAS A MEMBER SERVICES DIVISION. THROUGH MEMBER SERVICES, THE COLLEGE CONTINUES TO REMAIN A MAJOR PROFESSIONAL ASSOCIATION, WITH OVER 84,000 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 AFFILIATE 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 289 BOARD OF GOVERNORS WHO ADVISE AND COUNCIL THE BOARD OF REGENTS, AND SUPPORTS THE ACTIVITIES OF OVER 100 DOMESTIC AND INTERNATIONAL CHAPTERS. 18230112 30000 731582 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 2021, THERE WAS AN UPTICK IN ACS-LED LEGISLATION AND INCREAESED EFFORTS TO SECURE LEGISLATIVE CO-SPONSORS. THE MAIN FOCUS OF THESE EFFORTS WERE ON ISSUES THAT IMPACT MEDICARE PHYSIAN PAYMENT, MEDICAL LIABILITY REFORM, QUALITY AND PATIENT SAFETY, GRADUATE MEDICAL EDUCATION FINANCING AND GOVERNANCE, TRAUMA SYSTEMS, CANCER AND RESEARCH FUNDING, SCOPE OF PRACTICE, AND HEALTH INFORMATION TECHNOLOGY. 18230112 30000 731582 83758955 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 432 0 1 462 1 1 1 1 CA UK GM FR 0 0 0 0 0 0 0 0 1 0 X 24 23 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X GAY L VINCENT 3122025000 633 N SAINT CLAIR STREET CHICAGO IL 60611 DAVID B HOYT EXECUTIVE DIRECTOR (THRU 12/21) 38.00 2.00 X 1260448 0 324571 PATRICIA L TURNER DIR. OF MEMB SVCS/EXEC. DIR. (1/22) 38.00 2.00 X 752087 0 177496 CLIFFORD KO DIRECTOR OF RESEARCH 40.00 0.00 X 813111 0 96424 PATRICK V BAILEY MEDICAL DIRECTOR 40.00 0.00 X 676939 0 197403 FRANK G OPELKA MEDICAL DIRECTOR 40.00 0.00 X 656928 0 150697 HEIDI NELSON MEDICAL DIRECTOR, CANCER PROGRAMS 40.00 0.00 X 484947 0 185897 LEWIS FLINT EDITOR OF SELECTED READING 40.00 0.00 X 530828 0 131961 AJIT SACHDEVA DIRECTOR OF EDUCATION 40.00 0.00 X 799020 0 -145194 MICHELLE MCGOVERN DIRECTOR OF HUMAN RESOURCES 40.00 0.00 X 509414 0 137029 GAY L VINCENT CFO 38.00 2.00 X 609849 0 -165278 TIMOTHY J EBERLEIN DIRECTOR 39.00 1.00 X 150000 0 0 TYLER G HUGHES SECRETARY 39.00 1.00 X 100000 0 0 JAMES W FLESHMAN JR DIRECTOR (AS OF 10/21) 1.00 1.00 X 420 0 0 JULIE ANN FREISCHLAG ACS PRESIDENT (AS OF 10/21) 38.00 2.00 X X 0 0 0 J WAYNE MEREDITH ACS PRESIDENT (THRU 10/21) 38.00 2.00 X X 0 0 0 DON K NAKAYAMA TREASURER 1.00 2.00 X 0 0 0 ANTON N SIDAWY DIRECTOR / CHAIR (AS OF 10/21) 1.00 1.00 X X 0 0 0 LINDA G PHILLIPS DIR / VICE CHAIR (AS OF 10/21) 1.00 1.00 X X 0 0 0 STEVEN D WEXNER VICE CHAIR (THRU 10/21) 1.00 1.00 X X 0 0 0 QUAN-YANG DUH FIRST VP (AS OF 10/21) 1.00 1.00 X 0 0 0 H RANDOLPH BAILEY FIRST VP (THRU 10/21) 1.00 2.00 X 0 0 0 RICHARD A LYNN SECOND VP (AS OF 10/21) 1.00 1.00 X 0 0 0 LISA ANN NEWMAN SECOND VP (THRU 10/21) 1.00 1.00 X 0 0 0 ANTHONY ATALA DIRECTOR 1.00 1.00 X 0 0 0 JOHN LD ATKINSON DIRECTOR (THRU 10/21) 1.00 1.00 X 0 0 0 CAROL L BROWN DIRECTOR (AS OF 10/21) 1.00 1.00 X 0 0 0 FRANCOISE P CHAGNON DIRECTOR 1.00 1.00 X 0 0 0 ANNESLEY 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 FARMER DIRECTOR 1.00 1.00 X 0 0 0 HENRI R FORD DIRECTOR (THRU 10/21) 1.00 1.00 X 0 0 0 JAMES W GIGANTELLI DIRECTOR 1.00 1.00 X 0 0 0 SEAN C GRONDIN DIRECTOR 1.00 1.00 X 0 0 0 ANDREA HAYES DIRECTOR (AS OF 10/21) 1.00 1.00 X 0 0 0 ENRIQUE HERNANDEZ DIRECTOR (THRU 10/21) 1.00 1.00 X 0 0 0 L SCOTT LEVIN CHAIR (THRU 10/21) 1.00 1.00 X 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 MARK T SAVARISE DIRECTOR (AS OF 10/21) 1.00 1.00 X 0 0 0 KENNETH W SHARP DIRECTOR 1.00 1.00 X 0 0 0 STEVEN C STAIN MD DIRECTOR 1.00 1.00 X 0 0 0 BETH H SUTTON DIRECTOR (THRU 10/21) 1.00 1.00 X 0 0 0 GARY L TIMMERMAN DIRECTOR 1.00 1.00 X 0 0 0 SHELLY D TIMMONS DIRECTOR (AS OF 10/21) 1.00 1.00 X 0 0 0 DAVID J WELSH DIRECTOR 1.00 1.00 X 0 0 0 PHILIP R WOLINSKY DIRECTOR (AS OF 10/21) 1.00 1.00 X 0 0 0 DOUGLAS E WOOD DIRECTOR 1.00 1.00 X 0 0 0 7343991 0 1091006 162 0 1 0 IQVIA RDS INC 4820 EMPEROR BLVD DURHAM NC 27703 CONSULTING 6392208 IPG DXTRA INC 909 THIRD AVENUE - 19TH FL NEW YORK NY 10022 MARKETING 3359572 BRUNSWICK GROUP LLC 300 N LASALLE DR 2260 CHICAGO IL 60654 PUBLIC RELATIONS 2397857 CLUNE CONSTRUCTION INC 10 S RIVERSIDE PLAZA STE 2200 CHICAGO IL 60606 CONSTRUCTION 2034888 CAMBRIDGE ASSOCIATES LLC 125 HIGH STREET BOSTON MA 02110 FINANCIAL SERVICES 935765 35 1915759 18316133 1799265 76862 22031157 DROPC 611600 74904273 74904273 EDUCATION 611600 6576876 6504291 72585 ASSOCIATION MANAGEMENT SERVICES 561000 3347673 3347673 INTEGRATED COMMUNICATIONS 900099 731582 731582 MEMBER SERVICES 611600 407017 407017 85967421 4706873 -300832 5007705 1078598 1078598 16878834 13920503 2958331 2958331 -790633 3748964 211293985 3866279 177484014 1694989 33809971 2171290 35981261 2171290 88076 33721895 COMMISSIONS 900099 94908 94908 20F STREET CONFERENCE FACILITY 532000 48635 48635 REGISTRATION LISTS 900099 15340 15340 59755 59755 218638 152942279 84718453 -882169 47074838 305857 305857 1516640 1516640 45000 45000 4822020 3336285 1443643 42092 46739310 32258647 14082937 397726 8901789 6143858 2682182 75749 7395232 5104059 2228244 62929 3268049 2255550 984690 27809 507161 356561 150600 251468 251468 1493414 1493414 8292307 8236481 42582 13244 4713650 4649472 59828 4350 5185258 4209027 947526 28705 15051080 11770207 3262215 18658 37246 37246 1653563 264153 1389410 1182206 1004336 169463 8407 1579417 1403383 171362 4672 434183 124412 309771 6059214 190586 5868628 709648 49104 660544 DUES & FEES 223735 135733 87878 124 MEDICAL SUPPLIES 213151 213151 BAD DEBT 149207 149207 120729805 83758955 36286385 684465 2135166 4976901 1368942 1501139 60812460 24036397 8423014 4583396 199058787 62394323 143511785 136664464 171160268 110918240 307327384 370113311 4976151 4410416 699715170 657204264 52305941 41515068 37940011 41327879 13707000 11507000 95875000 94375000 22125232 20978589 221953184 209703536 X 435455173 408881752 42306813 38618976 477761986 447500728 699715170 657204264 X 32212474 -75654186 13180454 X 1 X 1 X 1 1 1 X 20567595 20575965 24490356 20932715 22031157 108597788 75259348 85074563 87960154 80908603 85967421 415170089 95826943 105650528 112450510 101841318 107998578 523767877 17541872 17402564 19909467 17169973 18316133 90340009 0 17541872 17402564 19909467 17169973 18316133 90340009 433427868 14182602 14614141 14901568 13929408 22664306 80292025 14182602 14614141 14901568 13929408 22664306 80292025 930373 778702 781132 77453 218638 2786298 110939918 121043371 128133210 115848179 130881522 606846200 0.71420 0.71120 0.13230 0.12720 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MURPHY AUDITORIUM - 2017 AMOUNT: $ 313,640. 2018 AMOUNT: $ 262,647. 2019 AMOUNT: $ 191,131. 2020 AMOUNT: $ 16,362. COMMISSIONS - 2017 AMOUNT: $ 470,922. 2018 AMOUNT: $ 431,185. 2019 AMOUNT: $ 367,839. 2020 AMOUNT: $ 3,737. 2021 AMOUNT: $ 94,908. MISCELLANEOUS - 2017 AMOUNT: $ 145,811. 2018 AMOUNT: $ 84,870. 2019 AMOUNT: $ 222,162. 2020 AMOUNT: $ 47,012. 2021 AMOUNT: $ 59,755. LOGO MERCHANDISE - 2020 AMOUNT: $ 10,342. 20F STREET CONFERENCE FACILITY - 2021 AMOUNT: $ 48,635. REGISTRATION LISTS - 2021 AMOUNT: $ 15,340. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 1 20000 0 0 1 137 0 0 20137 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. 254470999 40660 -17572126 2141951 7774853 227022729 199129452 22631 64746787 1969127 7458744 254470999 216096631 12700 -6913289 1992665 8073925 199129452 220774682 32915 5316613 2513772 7513807 216096631 214852720 81239 16108067 2669590 7597754 220774682 0.91290 0.02920 0.05790 0 0 39350905 39350905 132757653 47863623 84894030 26950229 14530700 12419529 136664464 ALT. INV. - PRIVATE 99881199 F INTERNATIONAL EQUITY 74962807 F ALT. INV. - LONG SHORT 52887589 F ALT. INV. - ABSOLUTE RETURN 40123024 F GLOBAL EQUITY 35973214 F U.S. LARGE CAP EQUITY 31485031 F EMERGING EQUITY 20055464 F ALT. INV. - COMMODITIES 7757656 F ENERGY EQUITY 6987327 F 370113311 FUNDS HELD FOR OTHERS 12213296 DUE TO AFFILIATES 8421437 OBLIGATIONS UNDER CAPITAL LEASES 343856 20978589 X PART V, LINE 4: INTENDED USES 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, 2022 AND 2021 FORMS 990 AND 990T FILED BY THE COLLEGE ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS) UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. THE IRS HAS AUDITED THE TAX RETURNS OF THE COLLEGE FOR THE FISCAL YEARS 2010, 2011 AND 2012 AND ISSUED A NOTICE OF DEFICIENCY IN APRIL 2017. THE COLLEGE FILED A PETITION WITH THE U.S. TAX COURT IN JULY 2017 TO DISPUTE THE IRS'S FINDINGS. A RESOLUTION WAS REACHED WITH THE FINAL CLOSING DOCUMENT SIGNED IN MARCH 2019. THE RESOLUTION REDUCED THE AMOUNT OF NET OPERATING LOSSES THAT WERE PREVIOUSLY REPORTED BY THE COLLEGE. THE COLLEGE SUBMITTED AMENDED FEDERAL TAX FILINGS FOR 2014 THROUGH 2017 AND STATE FILINGS FOR 2011 THROUGH 2017 IN MAY 2019. THIS RESULTED IN ADDITIONAL TAX OF APPROXIMATELY $770,000 WHICH HAD BEEN PAID THROUGH ESTIMATES PRIOR TO SUBMISSION OF THE AMENDED FILINGS. THE COLLEGE FILED A CLAIM FOR REFUND AND REQUEST FOR ABATEMENT IN JUNE 2022 FOR ALMOST $563,000. THE IRS HAS ACKNOWLEDGED RECEIVING THIS REQUEST BUT HAS NOT YET RESPONDED. 1 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 INVESTMENT 12531174 NORTH AMERICA 0 0 INVESTMENT 2981644 NORTH AMERICA 0 0 GRANTMAKING 42500 MIDDLE EAST AND NORTH AFRICA 0 0 GRANTMAKING 2500 0 0 0 0 0 0 15557818 0 15557818 DR. PON FUND INTERNATIONAL CHAPTER OPPORTUNITY NORTH AMERICA 1 12500 CHECK RESIDENT RESEARCH SCHOLARSHIP NORTH AMERICA 1 30000 CHECK 1 0 1 1 1 1 PART I, LINE 2: PROCEDURE FOR MONITORING USE OF 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 HTTP://WWW.FACS.ORG/MEMBERSERVICES/RESEARCH.HTML. 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 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 SUITE 720 SAN ANTONIO TX 78230 320170279 501(C)(3) 35000 0 GENERAL SUPPORT NATIONAL ACADEMY OF SCIENCES 2101 CONSTITUTION AVE NW WASHINGTON DC 20418 530196932 501(C)(3) 10000 0 GENERAL SUPPORT SOCIETY FOR VASCULAR SURGERY FOUNDATION 9400 W HIGGINS RD SUITE 315 ROSEMONT IL 60018 043580038 501(C)(3) 250000 0 SCHOLARSHIP SUPPORT 3 0 DEI & A AWARD 10 325000 FACULTY RESEARCH SCHOLARSHIP 8 320000 RESIDENT RESEARCH SCHOLARSHIP 10 254130 CLOWES AWARD 5 191250 NATIONAL SURGEON SCIENTIST PROGRAM 2 150000 CLINICAL SCHOLAR-IN-RESIDENCE 1 109911 ACS/TRIOLOGICAL SOCIETY AWARD 2 72149 HEALTH POLICY SCHOLARSHIP 17 61200 THE JACOBSON PROMISING INVESTIGATOR AWARD 1 30000 KANKUBEN B. GELOT SCHOLARSHIP - RESIDENT PAPER/POSTER COMP 1 3000 PART I, LINE 2: PROCEDURE FOR MONITORING USE OF 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 HTTP://WWW.FACS.ORG/MEMBERSERVICES/RESEARCH.HTML. 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 THIS PROGRAM. X X X X 0 0 0 0 0 0 0 1 0 DAVID B HOYT EXECUTIVE DIRECTOR (THRU 12/21) 1258985 0 845 0 618 0 298749 0 25822 0 1585019 0 0 0 PATRICIA L TURNER DIR. OF MEMB SVCS/EXEC. DIR. (1/22) 750966 0 845 0 276 0 176155 0 1341 0 929583 0 0 0 CLIFFORD KO DIRECTOR OF RESEARCH 811512 0 1083 0 516 0 96424 0 0 0 909535 0 0 0 PATRICK V BAILEY MEDICAL DIRECTOR 652028 0 768 0 24143 0 159713 0 37690 0 874342 0 0 0 FRANK G OPELKA MEDICAL DIRECTOR 654605 0 799 0 1524 0 124875 0 25822 0 807625 0 0 0 HEIDI NELSON MEDICAL DIRECTOR, CANCER PROGRAMS 483536 0 585 0 826 0 185897 0 0 0 670844 0 0 0 LEWIS FLINT EDITOR OF SELECTED READING 529038 0 1172 0 618 0 106139 0 25822 0 662789 0 0 0 AJIT SACHDEVA DIRECTOR OF EDUCATION 794921 0 1627 0 2472 0 -171016 0 25822 0 653826 0 0 0 MICHELLE MCGOVERN DIRECTOR OF HUMAN RESOURCES 508334 0 804 0 276 0 99339 0 37690 0 646443 0 0 0 GAY L VINCENT CFO 607211 0 1114 0 1524 0 -202968 0 37690 0 444571 0 0 0 PART I, LINE 7 DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2022, NO NON-FIXED PAYMENTS WERE MADE FOR THE INDIVIDUALS LISTED WITHIN SCHEDULE J, PART II. NONFIXED PAYMENTS SUCH AS THOSE FOR SEVERANCE AND BONUSES ARE AVAILBABLE FOR THESE INDIVIDUALS LISTED, HOWEVER NO SEVERANCE AND PERFORMANCE-BASED BONUSES WERE MADE DURING THE CALENDAR YEAR. TIMOTHY J EBERLEIN BOARD MEMBER 150000 CONTRACTOR 0 TYLER G HUGHES OFFICER 100710 CONTRACTOR 0 SCHEDULE L, PART IV, LINE 1: BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: TIMOTHY J. EBERLEIN AND TYLER G. HUGHES, BOARD MEMBERS OF 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. X 21000 76862 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 CONFLICTS OF INTEREST COMMITTEE THAT MEETS PERIODICALLY AS THE NEED ARISES TO DISCUSS ISSUES THAT RELATE TO CONFLICTS 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 COMPRISED 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 A 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: CHANGE IN FUNDS HELD FOR OTHERS 434,089. PENSION ADJUSTMENT 10,982,425. INSURANCE RECOVERY 1,620,724. OVER ACCRUAL TAX ADJUSTMENT 143,216. ACS EAST ONTARIO LLC 633 N SAINT CLAIR STREET CHICAGO IL 60611 362192800 RE INVESTMENT IL 666586 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 18077363 COST AMERICAN COLLEGE OF SURGEONS PROF ASSOC M 2189817 COST AMERICAN COLLEGE OF SURGEONS PROF ASSOC O 618739 COST AMERICAN COLLEGE OF SURGEONS PROF ASSOC Q 669599 COST AMERICAN COLLEGE OF SURGEONS FOUNDATION C 238770 COST