SIGN FRACTURE CARE INTERNATIONAL: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
SIGN FRACTURE CARE INTERNATIONAL (EIN 91-1952283)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-08-15
IRS object ID
202302279349304650
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-08-15T16:43:04-05:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN562382653PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1NORTHWEST CPA GROUP PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11333 COLUMBIA PARK TRAIL STE 210AddressLine1Txt
CityRICHLANDCityNm
State AbbreviationWAStateAbbreviationCd
ZIP99352ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN911952283EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SIGN FRACTURE CARE INTERNATIONALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSIGNBusinessNameControlTxt
Phone5093711107PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1451 HILLS STREET SUITE BAddressLine1Txt
CityRICHLANDCityNm
State AbbreviationWAStateAbbreviationCd
ZIP99354ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJEANNE DILLNERPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone5093711107PhoneNum
Signature2023-08-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJEANNEPersonFirstNm
Person LastDILLNERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonALISON C GEBERSPreparerPersonNm
PTINP00423745PTIN
Phone5097351300PhoneNum
Preparation2023-08-14PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1SIGNBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1451 HILLS STREET SUITE BAddressLine1Txt
CityRICHLANDCityNm
State AbbreviationWAStateAbbreviationCd
ZIP99354ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$9,183,879GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SIGNFRACTURECARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionBUILD ORTHOPAEDIC CAPACITY IN DEVELOPING COUNTRIES BY PROVIDING ORTHOPAEDIC TRAINING AND IMPLANTS.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee48TotalEmployeeCnt
Total Volunteers47TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$7,982,956PYContributionsGrantsAmt
CY Contributions Grants$6,595,978CYContributionsGrantsAmt
PY Program Service Revenue$1,084,354PYProgramServiceRevenueAmt
CY Program Service Revenue$795,028CYProgramServiceRevenueAmt
PY Investment Income$468,009PYInvestmentIncomeAmt
CY Investment Income$136,409CYInvestmentIncomeAmt
PY Other Revenue$39,317PYOtherRevenueAmt
CY Other Revenue$45,922CYOtherRevenueAmt
PY Total Revenue$9,574,636PYTotalRevenueAmt
CY Total Revenue$7,573,337CYTotalRevenueAmt
PY Grants And Similar Paid$104,823PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$147,621CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,666,222PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,695,301CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$535,399CYTotalFundraisingExpenseAmt
PY Other Expenses$3,492,405PYOtherExpensesAmt
CY Other Expenses$4,314,549CYOtherExpensesAmt
PY Total Expenses$6,263,450PYTotalExpensesAmt
CY Total Expenses$7,157,471CYTotalExpensesAmt
PY Revenues Less Expenses$3,311,186PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$415,866CYRevenuesLessExpensesAmt
Total Assets BOY$16,004,301TotalAssetsBOYAmt
Total Assets EOY$15,343,472TotalAssetsEOYAmt
Total Liabilities BOY$347,896TotalLiabilitiesBOYAmt
Total Liabilities EOY$383,197TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$15,656,405NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$14,960,275NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,172,780ExpenseAmt
Grant$147,621GrantAmt
Revenue$14,051RevenueAmt
DescWE PROVIDE ACCESS TO ORTHOPAEDIC TRAINING AND EDUCATION TO SURGEONS IN DEVELOPING COUNTRIES VIA FIVE PRIMARY CHANNELS:1. ONSITE VISITS BY LOCAL SURGEONS AND NORTH AMERICAN AND EUROPEAN SURGEONS. 2. EMAIL COMMUNICATIONS WITH SIGN HEADQUARTERS.3. DISCUSSION TOPICS AND EDUCATIONAL RESOURCES POSTED ON OUR WEBSITE, THE HUB.4. REVIEW OF CASES SUBMITTED TO THE SIGN SURGICAL DATABASE BY SENIOR ORTHOPAEDIC SURGEONS AND SIGN BOARD MEMBERS. 5. REGIONAL SIGN AND TRAUMA CONFERENCES, AS WELL AS THE ANNUAL INTERNATIONAL ORTHOPAEDIC CONFERENCE HELD AT SIGN HEADQUARTERS.THE OBJECTIVES FOR ALL MODES OF TRAINING ARE: 1) ENSURE SIGN SURGEONS UNDERSTAND THE SURGICAL TECHNIQUE FOR THE SIGN PRODUCTS IN THEIR HOSPITAL; 2) PROVIDE TRAINING ON CURRENT AND RELEVANT ORTHOPAEDIC PRINCIPLES; 3) PROVIDE TRAINING IN ORTHOPAEDIC AND TRAUMA PROCEDURES FOR INJURIES SUCH AS OPEN WOUNDS, LIMB DEFORMITY, PEDIATRIC, AND PELVIC AND 4) BEGIN THE PLANNING PROCESS TO START SIGN SPINE.EXPAND TRAINING AND EDUCATIONAL OPPORTUNITIES:THE ANNUAL SIGN CONFERENCE WAS HELD IN OCTOBER 2022 AT SIGN HEADQUARTERS IN RICHLAND, WASHINGTON AFTER A TWO-YEAR HIATUS. THIS CONFERENCE PROVIDED A COMBINATION OF DIDACTIC LECTURES ON FRACTURE MANAGEMENT, CASE STUDIES, AND SIX CADAVER LAB SESSIONS. WITH AN EYE ON THE DWINDLING GLOBAL PANDEMIC AND UNCERTAINTY AROUND INTERNATIONAL TRAVEL, WE DECIDED TO PROVIDE SPECIALIZED TRAINING TO A LIMITED NUMBER OF THE SENIOR SIGN SURGEONS, WITH THE HOPE THAT THEY WOULD IMPART THIS KNOWLEDGE ON THEIR FELLOW SIGN SURGEONS WHEN THEY RETURN TO THEIR HOME COUNTRIES. AS A RESULT, 27 SIGN SURGEONS FROM 16 DIFFERENT COUNTRIES ATTENDED THE 2022 SIGN CONFERENCE.IN ADDITION, THE 2022 SIGN CONFERENCE FEATURED THE INAUGURAL USE OF THE NEW BIOSKILLS LAB AND PROCEDURAL LEARNING CENTER, WHICH WAS COMPLETED IN EARLY 2022. THESE NEW FACILITIES, COUPLED WITH A SMALLER GROUP OF CONFERENCE ATTENDEES, ALLOWED US TO HOST MORE CADAVER LAB SESSIONS. THE LAB SESSIONS COVERED CRITICAL TOPICS SUCH AS PELVIC FRACTURES, PROXIMAL FEMUR FRACTURES, ELBOW FRACTURES, ANKLE FUSIONS, AND SOFT TISSUE WOUND COVERAGE. THIS CONFERENCE ALSO MARKED THE FIRST CADAVER LAB SESSION ON CERVIAL SPINE. WE CONTINUE TO PARTNER WITH THE INSTITUTE FOR GLOBAL ORTHOPAEDICS AND TRAUMATOLOGY (IGOT) WHO PROVIDES ADDITIONAL CADAVER TRAINING IN FLAPS AND DEFORMITY CORRECTION IN THEIR TWO-DAY SMART COURSE AFTER THE SIGN CONFERENCE. IGOT ALSO PROVIDES REGIONAL TRAINING IN OTHER SURGICAL TECHNIQUES TO SIGN SURGEONS IN EAST AFRICA AND NEPAL.IN 2020, IN PARTNERSHIP WITH IGOT, WE LAUNCHED THE SUCCESSFUL SIGN TRAUMA SESSIONS WEBINAR SERIES. THESE WEBINARS ARE HELD MONTHLY VIA ZOOM AND RECORDED FOR THOSE SURGEONS WHO CANNOT ATTEND LIVE. NEARLY EVERY SESSION INCLUDES FACULTY WHO ARE SIGN SURGEONS. THE SIGN TRAUMA SESSIONS GIVE SIGN SURGEONS A CHANCE TO SHARE THEIR KNOWLEDGE AND EXPERTISE WITH THEIR COLLEAGUES AND DISCUSS RELEVANT TOPICS IN TRAUMA CARE SUCH AS HUMERUS FRACTURES, PEDIATRIC FRACTURES, SOFT TISSUE WOUND COVERAGE, AND PELVIC FRACTURES. IN 2022, WE HAD 10 WEBINARS WHICH REACHED MORE THAN 1,100 SIGN SURGEONS. THE HUB, SIGN'S WEBSITE FOR EDUCATIONAL RESOURCES FOR SURGEONS, CONTAINS VIDEOS, ARTICLES, DISCUSSIONS, AND MORE TO PROVIDE ONGOING LEARNING OPPORTUNITIES FOR SURGEONS ACROSS THE GLOBE.THE SIGN IT DEPARTMENT CONTINUES TO MAKE IMPROVEMENTS TO THE SIGN SURGICAL DATABASE WEBSITE, WHICH IS THE BACKBONE OF REPORTING AND RESEARCHING SURGICAL CASES. THE UPGRADES ALLOWED OUR TEAM TO ASK QUESTIONS ONLY OF CERTAIN PROGRAMS, GIVING US THE ABILITY TO CREATE LIMITED ENROLLMENT STUDIES, AND IMPROVED SITE SECURITY.WE CONTINUE TO PARTNER WITH BLACK LION HOSPITAL, IN ADDIS ABABA, ETHIOPIA ON THE FIRST EAST AFRICAN PELVIC FELLOWSHIP PROGRAM. IN 2022, THEY TRAINED 3 ETHIOPIAN FELLOWS WHO WERE THEN ABLE TO RETURN HOME AND PUT THEIR NEW SKILLS INTO PRACTICE IN THEIR LOCAL COMMUNITY.OUR TRAVELING SET PROGRAM MODEL WAS A CONTINUED SUCCESS IN ETHIOPIA AND TANZANIA. IN THIS MODEL, THE MENTOR SURGEON MANAGING THE SET IDENTIFIES A HOSPITAL THEY BELIEVE HAS THE POTENTIAL TO SERVE MANY PATIENTS. THE MENTOR SURGEON THEN TRAVELS TO THE HOSPITAL AND TRAINS THE SURGEONS IN THE SIGN TECHNIQUE AND DATABASE REPORTING. AFTER THE TRAINING IS COMPLETED, THE SET IS STATIONED AT THE HOSPITAL FOR THREE MONTHS. IF THE HOSPITAL REPORTS AT LEAST 10 CASES WITHIN THE THREE-MONTH PERIOD, THEY ARE ELIGIBLE TO APPLY TO START THEIR OWN SIGN PROGRAM. IN 2022, WE ADDDED TWO ADDITIONAL TRAVELING SETS, ONE IN TANZANIA AND ONE IN ETHIOPIA. DUE TO A LIMITATION ON SOME OF OUR INSTRUMENTS THERE WERE ONLY TWO NEW SIGN PROGRAMS STARTED USING THE TEACHING SET MODEL. HOWEVER, WE ARE LOOKING FORWARD TO MAKE UP THE DIFFERENCE IN 2023.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$5,091,196ExpenseAmt
Revenue$780,977RevenueAmt
DescDISTRIBUTE APPROPRIATE ORTHOPAEDIC TECHNOLOGY:THE SIGN IM NAIL AND INTERLOCKING SCREW SYSTEM IS DESIGNED FOR USE IN HOSPITALS IN DEVELOPING COUNTRIES WHERE C-ARMS AND RELIABLE POWER ARE NOT AVAILABLE. SIGN ENGINEERS CONTINUALLY DEVELOP NEW ORTHOPAEDIC INSTRUMENTS AND IMPLANTS IN RESPONSE TO THE NEEDS DESCRIBED BY THE LOCAL SURGEONS. IN 2021, SIGN ENGINEERS DEVELOPED ONE NEW PRODUCT AND MADE DESIGN IMPROVEMENTS TO ONE INSTRUMENT TO ASSIST IN A VARIETY OF ORTHOPAEDIC SURGERIES. THE NEW PRODUCT WAS AN L-HANDLE SCREW EXTRACTOR, DESIGNED TO REMOVE SHOULDER CAP SCREWS FROM THE L-HANDLE WHEN BROKEN OFF INSIDE. AND THE SHOULDER CAP SCREW WAS RE-DESIGNED TO INCREASE USAGE AND MINIMIZE THE ABILITY FOR OPERATING STAFF TO OVER TORQUE THE SCREW, WHICH CAN LEAD TO BREAKAGE.WE SUPPLY NEW PROGRAMS WITH THE SIGN IM NAIL SYSTEM, WHICH SURGEONS USE TO REPAIR SEVERE FRACTURES IN THE FEMUR, TIBIA, AND HUMERUS. ONCE A PROGRAM HAS DEMONSTRATED ITS ABILITY TO REPORT THEIR CASES, INCLUDING ADEQUATE FOLLOW-UP THAT CONFIRMS THEIR RESULTS COMPLY WITH OUR EXPECTATIONS, THEY BECOME ELIGIBLE TO RECEIVE ADDITIONAL SIGN PRODUCTS, AS WELL AS IN-KIND DONATIONS RECEIVED FROM FOR-PROFIT ORTHOPAEDIC IMPLANT COMPANIES.IN 2022, WE DISTRIBUTED 28,278 SIGN NAILS TO 57 COUNTRIES. OUR AIM IS TO ENABLE THE POOR TO GAIN ACCESS TO AFFORDABLE ORTHOPAEDIC SURGERY, WHICH MEANS THAT THE MAJORITY OF OUR IMPLANTS ARE DONATED FREE OF CHARGE TO THE PATIENT.WE STARTED 29 NEW SIGN PROGRAMS IN 2022. THE BREAKDOWN WAS AS FOLLOWS: AFRICA: 11 PROGRAMS ASIA: 2 PROGRAMS EUROPE: 16 (UKRAINE CONFLICT)AS OF DECEMBER 31, 2022, THE WORLD BANK INCOME CLASSIFICATIONS BY GNI FOR THE COUNTRIES WITH NEW SIGN PROGRAMS WERE AS FOLLOWS: LOW INCOME 40% AND LOWER MIDDLE INCOME 60%. DISASTER AND CONFLICT RESPONSE:WE BELIEVE IN EQUALITY OF FRACTURE CARE FOR ALL, REGARDLESS OF GENDER, RELIGION, POLITICAL AFFILIATION, OR ANY OTHER IDENTITY. SINCE THE BEGINNING OF THE WAR IN UKRAINE, WE PARTNERED WITH UKRAINIAN SURGEONS AND LIKE-MINDED ORGANIZATIONS TO GET THE SIGN NAILS AND INSTRUMENTS INTO THE HANDS OF THE DOCTORS ON THE GROUND. WE HAVE SENT SIGN SETS TO 15 HOSPITALS THROUGHOUT UKRAINE, ALONG WITH OVER 900 SIGN NAILS (INCLUDING SIGN HIP NAILS AND PEDIATRIC NAILS), 19 LARGE EXTERNAL FIXATOR SETS, SMALL AND LARGE FRAGMENT SETS, AND MANY OTHER GENERAL SURGERY CONSUMABLES. TO PROVIDE ADDITIONAL RESOURCES FOR THE UKRAINIAN SURGEONS, WE TRANSLATED AN INTRODUCTION TO SIGN PRESENTATION INTO UKRAINIAN AND ADDED UKRAINIAN SUBTITLES TO OUR ANIMATED TECHNIQUE VIDEO. WE CONTINUE TO COMMUNICATE WITH THESE SURGEONS IN UKRAINE, AND WE ARE PREPARING SHIPMENTS TO RESUPPLY THEIR HOSPITALS WITH SIGN IMPLANTS AS NEEDED.THERE WAS A PEACE TREATY SIGNED BETWEEN THE ETHIOPIAN GOVERNMENT AND TIGRAY PEOPLE'S LIBERATION FRONT. WE'VE RECEIVED REQUESTS FROM SEVERAL AFFECTED SIGN PROGRAMS AT FRONTLINE HOSPITALS WHO SAW AN INCREASE IN CASUALTIES RELATED TO THIS CONFLICT. AT THE TIME OF WRITING THIS REPORT, WE HAVE SENT 6 SETS OF LARGE EXTERNAL FIXATORS, 1 SIGN INSTRUMENT SET, AND 90 EXTRA NAILS TO ETHIOPIAN SIGN PROGRAMS WHO ARE TREATING THE WOUNDED. WE CONTINUE TO COORDINATE WITH OUR ETHIOPIAN SIGN PROGRAMS TO ENSURE THESE PROGRAMS HAVE THE SIGN INSTRUMENTS AND SIGN NAILS THEY NEED TO TREAT THEIR PATIENTS.IN AUGUST, TORRENTIAL MONSOON RAINS CAUSED THE MOST SEVERE FLOODING IN PAKISTAN'S RECENT HISTORY. UNICEF REPORTED THAT 33 MILLION PEOPLE WERE AFFECTED BY THE HEAVY MONSOON RAINS. IN RESPONSE, WE SENT A SIGN SET AND 50 NAILS TO A SIGN SURGEON IN LARKANA, PAKISTAN, TO ASSIST WITH THE INJURED PATIENTS HE WAS RECEIVING AT HIS HOSPITAL.SINCE THE TRANSFER OF POWER TO THE TALIBAN IN AFGHANISTAN, TRAVEL IN AND OUT OF THE COUNTRY HAS YET TO NORMALIZE. THIS HAS GREATLY AFFECTED OUR ABILITY TO SEND NAILS TO THE LOCAL SIGN PROGRAMS. IN LATE NOVEMBER 2021, WE WERE ABLE TO SEND A SHIPMENT VIA AN AIR FREIGHT COMPANY. NOW THAT WE HAVE FOUND A RELIABLE SHIPPING ROUTE INTO AFGHANISTAN, WE CONTINUE TO SUPPLY OUR SIGN SURGEONS WITH THE IMPLANTS THEY NEED TO TREAT THE INJURED POOR.SIGN SPINE: A TEAM OF SPINE SURGEONS FROM THE US AND CANADA ARE IMPLEMENTING A MULTI-SITE PROJECT TO ESTABLISH A SIGN SPINE PROGRAM. BY THE END OF 2022, THE SIGN SPINE PROGRAM HAD RAISED THE FUNDS TO PURCHASE INITIAL SPINE IMPLANTS AND INSTRUMENTATION FOR TWO HOSPITALS; ONE IN KENYA AND THE OTHER IN TANZANIA. THEY HAVE ALSO IDENTIFIED TWO SURGEONS WHO WILL ATTEND A ONE-YEAR ORTHOPAEDIC/NEUROSURGERY SPINAL FELLOWSHIP AT MCMASTER UNIVERSITY IN CANADA. THE TANZANIA PROGRAM IS EXPECTED TO BEGIN BY THE END OF 2023 AND THE KENYA PROGRAM WILL BEGIN IN JULY 2024.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$6,263,976TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To IndividualsYes (1)MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee48EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldALStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldAKStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldARStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldCOStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldDCStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
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States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
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States Where Copy Of Return Is FldKYStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMSStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNJStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNMStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNVStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldOKStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldSCStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldTNStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldUTStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldVAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldWAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldCTStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMEStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldRIStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNDStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldWVStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMOStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ANGELA HOYERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5093711107PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1451 HILLS STREET SUITE BAddressLine1Txt
CityRICHLANDCityNm
State AbbreviationWAStateAbbreviationCd
ZIP99354ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
CARLA SMITH MD PHD
BOARD MEMBER1.00Yes (X)$0$0$0
JOHN STAEHELI MD
BOARD MEMBER1.50Yes (X)$0$0$0
LEWIS G ZIRKLE MD
PRESIDENT/FOUNDER60.00Yes (X)$0$0$0Yes (X)
RANDALL HUEBNER
BOARD MEMBER22.00Yes (X)$0$0$0
STEPHEN SCHWARTZ
BOARD MEMBER1.00Yes (X)$0$0$0
RICHARD GELLMAN MD
BOARD MEMBER1.00Yes (X)$0$0$0
PATRICK YOON MD
BOARD MEMBER1.00Yes (X)$0$0$0
DAVID SHEARER MD
VICE PRESIDENT2.00Yes (X)$0$0$0Yes (X)
ANN PENNER
BOARD MEMBER5.00Yes (X)$0$0$0
MICHAEL COSCIA MD
BOARD MEMBER10.00Yes (X)$0$0$0
BEN RIVERA
BOARD MEMBER10.00Yes (X)$0$0$0
JEANNE DILLNER
SECRETARY/TREASURER/CEO75.00$171,248$0$13,679Yes (X)
ROBERT SCHMITT
REGULATORY AFFAIRS MANAGER40.00$124,489$0$13,116Yes (X)
TERRY SMITH
ENGINEERING MANAGER40.00$145,412$0$6,198Yes (X)
BRIAN BARNES
IT MANAGER40.00$118,423$0$12,437Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$559,572TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$45,430TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DASSAULT SYSTEMS AMERICAS CORPBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1175 WYMAN STAddressLine1Txt
CityWALTHAMCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02451ZIPCd
FieldValueIRS element (for citing)
ServicesPROVIDE AND IMPLEMENT NEW ERP SYSTEMServicesDesc
Compensation$371,686CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
All Other Contributions$6,595,978AllOtherContributionsAmt
Noncash Contributions$1,435,538NoncashContributionsAmt
Total Contributions$6,595,978TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
IMPLANT REVENUE339110$780,977$780,977
OTHER REVENUE541900$9,216$9,216
TRAINING CONFERENCE611430$4,835$4,835
FieldValueIRS element (for citing)
Total Program Service Revenue$795,028TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$92,266TotalRevenueColumnAmt
Exclusion$92,266ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$63,600RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$17,678RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$45,922RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$45,922TotalRevenueColumnAmt
Exclusion$45,922ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,637,007SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,592,864SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$44,143SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$44,143TotalRevenueColumnAmt
Exclusion$44,143ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,573,337TotalRevenueColumnAmt
Related Or Exempt Func Income$795,028RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$182,331ExclusionAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$147,621TotalAmt
Program Services$147,621ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$172,815TotalAmt
Program Services$129,611ProgramServicesAmt
Fundraising$43,204FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,522,486TotalAmt
Program Services$1,882,890ProgramServicesAmt
Management And General$260,386ManagementAndGeneralAmt
Fundraising$379,210FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$21,875TotalAmt
Management And General$21,875ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$83,216TotalAmt
Program Services$31,507ProgramServicesAmt
Management And General$22,093ManagementAndGeneralAmt
Fundraising$29,616FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,772TotalAmt
Program Services$8,935ProgramServicesAmt
Management And General$369ManagementAndGeneralAmt
Fundraising$468FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$11,914TotalAmt
Program Services$10,675ProgramServicesAmt
Management And General$318ManagementAndGeneralAmt
Fundraising$921FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$108,769TotalAmt
Program Services$108,769ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$149,446TotalAmt
Program Services$132,561ProgramServicesAmt
Management And General$7,178ManagementAndGeneralAmt
Fundraising$9,707FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$14,993TotalAmt
Program Services$11,669ProgramServicesAmt
Management And General$1,465ManagementAndGeneralAmt
Fundraising$1,859FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SUPPLIES$1,910,024$1,857,050$12,195$40,779
COST OF PRODUCT DISTRIB$1,666,441$1,666,441
SHIPPING$136,586$136,586
DUES, FEES AND TAXES$68,530$32,659$19,460$16,411

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$132,983TotalAmt
Program Services$107,002ProgramServicesAmt
Management And General$12,757ManagementAndGeneralAmt
Fundraising$13,224FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,157,471TotalAmt
Program Services$6,263,976ProgramServicesAmt
Management And General$358,096ManagementAndGeneralAmt
Fundraising$535,399FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$869,678BOYAmt
EOY$1,896,701EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,978,029BOYAmt
EOY$3,394,837EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$172,500BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$237,742BOYAmt
EOY$171,966EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$761,094BOYAmt
EOY$956,431EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$103,829BOYAmt
EOY$125,319EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$7,782,159LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,038,265LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,488,863BOYAmt
EOY$4,743,894EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$5,380,030BOYAmt
EOY$4,044,170EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$12,536BOYAmt
EOY$10,154EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$16,004,301BOYAmt
EOY$15,343,472EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$347,896BOYAmt
EOY$383,197EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$347,896BOYAmt
EOY$383,197EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,402,246BOYAmt
EOY$13,254,042EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,254,159BOYAmt
EOY$1,706,233EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,656,405BOYAmt
EOY$14,960,275EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,004,301BOYAmt
EOY$15,343,472EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$415,866ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,111,996NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,629,218CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,420,434CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,247,095CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,982,956CurrentTaxYearMinus1YearAmt
Current Tax Year$6,595,978CurrentTaxYearAmt
Total$31,875,681TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$831,528CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$943,761CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$878,615CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,084,354CurrentTaxYearMinus1YearAmt
Current Tax Year$795,028CurrentTaxYearAmt
Total$4,533,286TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,460,746CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,364,195CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,125,710CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,067,310CurrentTaxYearMinus1YearAmt
Current Tax Year$7,391,006CurrentTaxYearAmt
Total$36,408,967TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$792,373CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,557,089CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$669,090CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,558,238CurrentTaxYearMinus1YearAmt
Current Tax Year$1,034,783CurrentTaxYearAmt
Total$5,611,573TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$370,893CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$517,401CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$552,226CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$560,894CurrentTaxYearMinus1YearAmt
Current Tax Year$408,616CurrentTaxYearAmt
Total$2,410,030TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,163,266CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,074,490CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,221,316CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,119,132CurrentTaxYearMinus1YearAmt
Current Tax Year$1,443,399CurrentTaxYearAmt
Total$8,021,603TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$28,387,364PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$163,467CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$143,468CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$151,940CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$156,555CurrentTaxYearMinus1YearAmt
Current Tax Year$155,866CurrentTaxYearAmt
Total$771,296TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$163,467CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$143,468CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$151,940CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$156,555CurrentTaxYearMinus1YearAmt
Current Tax Year$155,866CurrentTaxYearAmt
Total$771,296TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,624,213CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,507,663CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,277,650CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,223,865CurrentTaxYearMinus1YearAmt
Current Tax Year$7,546,872CurrentTaxYearAmt
Total$37,180,263TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.76350PublicSupportCY509Pct
Public Support PY5090.73090PublicSupportPY509Pct
Investment Income CY0.02070InvestmentIncomeCYPct
Investment Income PY0.02280InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$880,000OtherCostOrOtherBasisAmt
Book Value$880,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,631,388OtherCostOrOtherBasisAmt
Depreciation$163,836DepreciationAmt
Book Value$1,467,552BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,000,411OtherCostOrOtherBasisAmt
Depreciation$771,731DepreciationAmt
Book Value$1,228,680BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,460,217OtherCostOrOtherBasisAmt
Depreciation$1,872,331DepreciationAmt
Book Value$587,886BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$810,143OtherCostOrOtherBasisAmt
Depreciation$230,367DepreciationAmt
Book Value$579,776BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,743,894TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$7,860,119TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$1,111,996NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$1,381,100DonatedServicesAndUseFcltsAmt
Other Revenue$17,678OtherRevenueAmt
Revenue Not Reported$286,782RevenueNotReportedAmt
Revenue Subtotal$7,573,337RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$7,573,337TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$8,556,249TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$1,381,100DonatedServicesUseFcltsAmt
Other Expenses Included$17,678OtherExpensesIncludedAmt
Expenses Not Reported$1,398,778ExpensesNotReportedAmt
Expenses Subtotal$7,157,471ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$7,157,471TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:MANAGEMENT HAS EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 17,678.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 17,678.

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (11 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN00PROGRAM SERVICESORTHOPAEDIC IMPLANTS$91,561
EAST ASIA AND THE PACIFIC00PROGRAM SERVICESORTHOPAEDIC IMPLANTS$65,307
EUROPE (INCLUDING ICELAND & GREENLAND)00PROGRAM SERVICESORTHOPAEDIC IMPLANTS$83,531
MIDDLE EAST AND NORTH AFRICA00PROGRAM SERVICESORTHOPAEDIC IMPLANTS$28,922
SOUTH AMERICA00PROGRAM SERVICESORTHOPAEDIC IMPLANTS$3,671
SOUTH ASIA00PROGRAM SERVICESORTHOPAEDIC IMPLANTS$1,403,275
SUB-SAHARAN AFRICA00PROGRAM SERVICESORTHOPAEDIC IMPLANTS$2,242,968
SUB-SAHARAN AFRICA00GRANTSTRAINING, IMPLANTS, STIPEND$79,250
RUSSIA & THE NEWLY INDEPENDENT STATES00PROGRAM SERVICESORTHOPAEDIC IMPLANTS$379,002
EAST ASIA AND THE PACIFIC00GRANTSTRAINING, IMPANTS, STIPEND$6,250
SOUTH ASIA00GRANTSTRAINING, IMPANTS, STIPEND$2,201
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$3,998,485SubtotalSpentAmt
Continuation Spent$387,453ContinuationSpentAmt
Total Spent$4,385,938TotalSpentAmt

Foreign Individuals Grants ForeignIndividualsGrantsGrp (3 entries)

Type Of AssistanceTypeOfAssistanceTxtRegionRegionTxtRecipientRecipientCntCash GrantCashGrantAmtManner Of Cash DisbursementMannerOfCashDisbursementTxt
FELLOWSHIP STIPENDSUB-SAHARAN AFRICA6$79,250CASH PAYMENT
FELLOWSHIP STIPENDEAST ASIA AND THE PACIFIC1$6,250CASH PAYMENT
FELLOWSHIP STIPENDSOUTH ASIA1$2,201CASH PAYMENT
FieldValueIRS element (for citing)
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 2:GRANT REQUESTS ARE REVIEWED BY THE GRANT REVIEW COMMITTEE AS ESTABLISHED BY THE SIGN COMPLIANCE PROGRAM. MONITORING AWARDS IS A TWO PRONG APPROACH: A) FINANCIAL REPORTS OR RECEIPTS ARE SUBMITTED; AND, B) STATUS UPDATES ARE PROVIDED BY RECIPIENTS.
PART III ACCOUNTING METHOD:

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JEANNE DILLNER
SECRETARY/TREASURER/CEO$171,248$0$0$0$0$0$6,913$0$6,766$0$184,927$0$0$0
TERRY SMITH
ENGINEERING MANAGER$145,412$0$0$0$0$0$5,829$0$369$0$151,610$0$0$0

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublicationsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$42,000NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR VALUEMethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$7,183NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR VALUEMethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution7ContributionCnt
Noncash Contributions Rpt F990$85,070NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR VALUEMethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$1,320NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR VALUEMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution34ContributionCnt
Noncash Contributions Rpt F990$1,245,998NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR VALUEMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)OTHER2$35,520FAIR VALUE
Yes (X)TRAVEL EXPENSES FOR TRAINING2$18,446FAIR VALUE
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:SIGN'S VISON IS TO CREATE EQUALITY OF FRACTURE CARE THROUGHOUT THE WORLD. IN IMPLEMENTING ITS VISION, SIGN EMPOWERS SURGEONS, IMPLANTS HOPE AND RESTORES THE LIVES OF THE INJURED POOR AROUND THE WORLD. SIGN SURGERY ENABLES PEOPLE WITH SEVERELY BROKEN BONES TO WALK AND RETURN HOME WITHIN ONE WEEK OF SURGERY AND RETURN TO NORMAL FUNCTION WITHIN A FEW WEEKS. SIGN'S MISSION IS TO GIVE THE INJURED POOR ACCESS TO FRACTURE SURGERY BY DONATING ORTHOPAEDIC EDUCATION AND IMPLANT SYSTEMS TO SURGEONS IN DEVELOPING COUNTRIES. SIGN BUILDS SUSTAINABLE ORTHOPAEDIC CAPACITY IN LOW- AND MIDDLE-INCOME COUNTRIES (LMIC) BY EDUCATING LOCAL SURGEONS TO CARE FOR AND TREAT PATIENTS IN THEIR HOME COMMUNITIES. SIGN EQUIPS THE SURGEONS WITH THE SKILLS AND TOOLS THEY NEED, ENABLING THEM TO PROVIDE ONGOING CARE AND SUPPORT TO THEIR PATIENTS. THIS EDUCATION IS AUGMENTED THROUGH THE PROVISION OF A SUSTAINABLE SUPPLY OF ORTHOPAEDIC IMPLANTS AND INSTRUMENTS DESIGNED FOR USE IN LOW-RESOURCE HOSPITAL CONDITIONS. BY EMPOWERING SURGEONS IN LMIC, THESE SURGEONS ARE ABLE TO ACHIEVE EQUITABLE RESULTS IN THE TREATMENT THEY PROVIDE TO PATIENTS IN THEIR COMMUNITIES. SIGN DESIGNS AND MANUFACTURES THE SIGN IM NAIL SYSTEM WHICH IS DESIGNED FOR USE IN AUSTERE OPERATING ROOM CONDITIONS. SIGN FRACTURE CARE INTERNATIONAL IS REGISTERED WITH THE UNITED STATES FOOD AND DRUG ADMINISTRATION (FDA). SIGN MANUFACTURES FINISHED MEDICAL DEVICES IN COMPLIANCE WITH THE CODE OF FEDERAL REGULATIONS, FDA QUALITY SYSTEM REGULATION. SIGN MAINTAINS A QUALITY MANAGEMENT SYSTEM THAT IS CERTIFIED TO BE COMPLIANT WITH ISO 13485:2016. ADDITIONALLY, SIGN DISTRIBUTES IN-KIND DONATIONS OF PRODUCTS NOT MANUFACTURED BY SIGN TO SOME OF THE BUSIER PROGRAMS. ACCORDING TO THE WORLD HEALTH ORGANIZATION (WHO), THE EPIDEMIC OF INJURIES CAUSED BY ROAD TRAFFIC ACCIDENTS, WORK INJURIES, AND CONFLICTS AFFECTS 20 TO 50 MILLION PEOPLE EVERY YEAR. NINETY PERCENT OF THE PEOPLE INJURED LIVE IN LMIC WHERE ACCESS TO ADEQUATE CARE IS LIMITED. BY EQUIPPING LOCAL SURGEONS WITH THE SKILLS AND TOOLS THEY NEED, SIGN ENABLES THEM TO PROVIDE ONGOING CARE AND SUPPORT TO THEIR PATIENTS. THIS EMPOWERMENT UPLIFTS RECIPIENTS AND THEIR FAMILIES, ENABLING THEM TO BREAK FREE FROM THE CYCLE OF POVERTY. THERE ARE APPROXIMATELY 7,000 SURGEONS IN MORE THAN 410 HOSPITALS IN 57 LMIC WHICH HAVE BENEFITED FROM SIGN EDUCATION AND THE PROVISION OF IMPLANTS AND INSTRUMENTS. WITH MORE THAN 400,000 SURGERIES TO DATE, AND WITH AN AVERAGE FAMILY SIZE OF FIVE, THIS MEANS SIGN HAS TOUCHED AND IMPROVED THE LIVES OF OVER 2 MILLION PEOPLE. SIGN ALSO RESPONDS TO DISASTERS AND CONFLICTS IN LOCATIONS WHERE SIGN HAS EXISTING PROGRAMS OR WHERE SIGN PROGRAMS NEED TO BE DEVELOPED. SINCE ELECTRICITY AND OTHER RESOURCES TYPICALLY FOUND IN OPERATING ROOMS AREN'T NEEDED TO PERFORM SIGN SURGERY, IT IS AN EFFECTIVE MEANS TO REDUCE THE NUMBER OF PERMANENT DISABILITIES FOR INJURED PEOPLE FOLLOWING A NATURAL DISASTER OR CONFLICT.
FORM 990, PART VI, SECTION B, LINE 11BA DRAFT OF FORM 990 IS PROVIDED TO SIGN'S CEO. THE FORM 990 IS PRESENTED FOR REVIEW TO THE BOARD OF DIRECTORS. ANY CHANGES ARE THEN DIRECTED TO THE RETURN PREPARER AND ADDRESSED BEFORE THE FINAL RETURN IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY IS MONITORED AND REVIEWED BY THE CHIEF COMPLIANCE OFFICER. THE CHIEF COMPLIANCE OFFICER REQUESTS ANNUAL CONFLICT OF INTEREST STATEMENTS FROM EACH BOARD MEMBER. THE STATEMENTS ARE REVIEWED WITH THE CEO/SECRETARY AND DISPOSITIONED. THE PRESIDENT IS BRIEFED ON FINDINGS ALONG WITH THE FULL BOARD.
FORM 990, PART VI, SECTION B, LINE 15AN ANNUAL PERFORMANCE REVIEW IS CONDUCTED FOR ALL EMPLOYEES INCLUDING THE CEO. THE ENTITY'S SIZE, INDUSTRY, TYPE OF ORGANIZATION, AND POSITION OF RESPONSIBILITIES ARE CONSIDERED IN DETERMINING COMPENSATION ADJUSTMENTS. ACCORDING TO THE ORGANIZATION'S BY-LAWS, THE PRESIDENT IS AUTHORIZED TO CONDUCT THE CEO'S ANNUAL REVIEW AND DETERMINE COMPENSATION. THE ORGANIZATION UTILIZES A SUBSCRIPTION TO PAYSCALE WHICH PROVIDES ACCURATE SALARY INFORMATION TO ESTABLISH PAY RANGES FOR EMPLOYEES. PAYSCALE ALSO ALLOWS THE ORGANIZATION TO INPUT PERFORMANCE RANKING DATA IN ORDER TO OBTAIN "RECOMMENDED RAISES" VIA THOSE RANKS JUXTAPOSED WITH WHERE EACH INDIVIDUAL'S CURRENT SALARY LANDS IN THE SALARY RANGE FOR THEIR POSITION.
FORM 990, PART VI, SECTION C, LINE 19THE PUBLIC MAY CONTACT THE ORGANIZATION AT IT'S PHYSICAL LOCATION TO REQUEST COPIES OF ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS.
FORM 990, PART XII, LINE 2CTHE ORGANIZATION HAS NOT CHANGED THEIR OVERSIGHT PROCESS OR SELECTION PROCESS OF SELECTING AN INDEPENDENT AUDITOR DURING THE TAX YEAR.

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