2022-10-26T13:06:12-05:00 2021-12-31 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2021-01-01 363635910 THE THORACIC SURGERY FOUNDATION THOR 3122025815 633 N ST CLAIR SUITE 2100 CHICAGO IL 60611 ANTHONY ESTRERA MD TREASURER 3122025815 2022-10-13 1 ANTHONY ESTRERA MD 999009999 DAVID LOWENTHAL P00378651 3122071040 2022-10-13 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z ANTHONY ESTRERA MD 633 N ST CLAIR SUITE 2100 CHICAGO IL 60611 5781122 0 X WWW.THORACICSURGERYFOUNDATION.ORG X 1988 IL THE MISSION OF TSF IS TO FOSTER THE DEVELOPMENT OF SURGEON SCIENTISTS IN CARDIOTHORACIC SURGERY; INCREASING KNOWLEDGE AND INNOVATION TO BENEFIT PATIENT CARE. 14 14 0 111 0 0 1347926 2974577 0 0 52285 457718 0 0 1400211 3432295 1047500 1055270 0 0 0 0 0 0 15300 60720 76656 1108220 1131926 291991 2300369 5251287 7716279 382167 540331 4869120 7175948 X THE MISSION OF TSF IS TO FOSTER THE DEVELOPMENT OF SURGEON SCIENTISTS IN CARDIOTHORACIC SURGERY; INCREASING KNOWLEDGE AND INNOVATION TO BENEFIT PATIENT CARE. 0 0 1060437 1055270 DURING THE YEAR, TSF AWARDED A TOTAL OF 40 AWARDS CONSISTING OF 5 EVERY HEARTBEAT MATTERS AWARDS (SUPPORT FOR PROGRAMS THAT EDUCATE, SCREEN AND/OR TREAT UNDERSERVED POPULATIONS TO REDUCE THE GLOBAL BURDEN OF HEART VALVE DISEASE, OR TO SUPPORT OTHER PROGRAMS THAT ADVANCE HEALTH CARE AND ADDRESS UNDERSERVED POPULATIONS), 3 CAROLYN REED TRAVELING FELLOWSHIP AWARDS (SUPPORT OF A CLINICALLY-ESTABLISHED WOMAN THORACIC OR CARDIAC SURGEON, OR A WOMAN RESIDENT IN HER LAST YEAR OF CARDIOTHORACIC SURGERY RESIDENCY, TO TRAVEL TO ANOTHER INSTITUTION FOR THE PURPOSE OF LEARNING A NEW SKILL OR TECHNOLOGY), 8 RESEARCH AWARDS (OPERATIONAL SUPPORT OF ORIGINAL RESEARCH EFFORTS BY CARDIOTHORACIC SURGEONS WHO HAVE COMPLETED THEIR FORMAL TRAINING, AND WHO ARE SEEKING INITIAL SUPPORT AND RECOGNITION FOR THE RESEARCH PROGRAM), 2 BRAUNWALD AWARDS (SUPPORTS A WOMAN SURGEON AND WOMAN RESIDENT WORKING IN CARDIAC SURGICAL CLINIC OR LABORATORY RESEARCH PROGRAM), 1 STSA RESEARCH AWARD (SUPPORT OF ORIGINAL RESEARCH EFFORTS BY CARDIOTHORACIC SURGEONS WHO HAVE COMPLETED THEIR FORMAL TRAINING AND WHO ARE SEEKING INITIAL SUPPORT AND RECOGNITION FOR THEIR RESEARCH PROGRAM), 1 LEVI WATKINS AWARDS (SUPPORTS TRAVEL TO A CENTER OF EXCELLENCE TO ACQUIRE ADDITIONAL CLINICAL, TRANSLATIONAL OR LEADERSHIP TRAINING TO ENHANCE SKILLS AND PRACTICE IN AN AREA OF INNOVATION OR SURGICAL SIGNIFICANCE FOR A CARDIOTHORACIC SURGEON), 1 REPLOGLE AWARD (SUPPORT CONTINUING EDUCATION OF SURGEON OR RESIDENT COMMITTED TO THE TREATEMNET OF CONGENITAL HEART DISEASE IN NEONATES, INFANTS, CHILDREN AND ADULTS),1 SARNS TERUMO PERFUSION FELLOWHIP AWARD(SUPPORT CONINTUING EDUCATION OF A BOARD CERTIFIED PERFUUSIONIST COMMITED TO EXPAND CARDIOVSCULAR PERFUSION EDUCATION), 1 STS RESEARCH AWARD (SUPPORT OF ORIGINAL RESEARCH EFFORTS BY CARDIOTHORACIC SURGEONS WHO HAVE COMPLETED THEIR FORMAL TRAINING AND WHO ARE SEEKING INITIAL SUPPORT AND RECOGNITION FOR THEIR RESEARCH PROGRAM), 1 STS/EACTS AWARD (ISSUED TO THE WINNER OF THE BEST ABSTRACT PRESENTED DURING THE "EACTS @ STS SESSION" AT THE STS ANNUAL MEETING, 3 ALLEY-SHERIDAN AWARDS (SUPPORTS EDUCATIONAL OPPORTUNITIES FOR CARDIOTHORACIC SURGEONS TO ATTEND THE LEADERSHIP PROGRAM IN HEALTH POLICY MANAGEMENT OFFERED BY BRANDEIS UNIVERSITY), 2 DAVIDSON FELLOWSHIP (SUPPORTS A YOUNG EARLY-CAREER CARDIOTHORACIC SURGEON COMMITTED TO THE VISION OF INNOVATIVE AND COLLABORATIVE CARDIOVASCULAR CARE), 3 INTERNATIONAL MEDICAL VOULNTEER SCHOLARSHIPS (PROVIDE GLOBAL CARDIOTHORACIC SURGERY VOLUNTEER EXPERIENCE FOR A CARDIOTHORACIC SURGERY RESIDENT OR SURGEON UNDER THE MENTORSHIPS OF AN EXPERIENCED SURGEON VOLUNTEER), AND 8 SAHA SCHOLARSHIPS (SUPPORTS EDUCATIONAL OPPORTUNITIES FOR CARDIOTHORACIC SURGERY RESIDENTS OR JUNIOR FACULTY FROM INDIA TO ATTEND THE STS ANNUAL MEETING). 1060437 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 1 9 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 0 0 0 IL X KEITH BURA 3122025815 633 N ST CLAIR SUITE 2100 CHICAGO IL 60611 X SEAN C GRONDIN MD DIRECTOR 4.00 0.00 X 0 8000 0 THOMAS E MACGILLIVRAY MD DIRECTOR 4.00 0.00 X 0 2000 0 VINOD H THOURANI MD DIRECTOR 4.00 0.00 X 0 1000 0 JOSEPH E BAVARIA MD PRESIDENT 12.00 0.00 X X 0 0 0 JOSEPH A DEARANI MD VICE PRESIDENT - BEG 2/21 12.00 0.00 X X 0 0 0 KEITH NAUNHEIM MD VICE PRESIDENT - THRU 2/21 12.00 0.00 X X 0 0 0 SCOTT A LEMAIRE MD SECRETARY - BEG 2/21 12.00 0.00 X X 0 0 0 SHANDA BLACKMON MD SECRETARY - THRU 2/21 12.00 0.00 X X 0 0 0 VIRGINIA R LITLE MD TREASURER 12.00 0.00 X X 0 0 0 JUAN A CRESTANELLO MD DIRECTOR 4.00 0.00 X 0 0 0 EDWARD P CHEN MD DIRECTOR 4.00 0.00 X 0 0 0 MELANIE A EDWARDS MD DIRECTOR 4.00 0.00 X 0 0 0 ANTHONY L ESTRERA MD DIRECTOR 4.00 0.00 X 0 0 0 LAUREN C KANE MD DIRECTOR 4.00 0.00 X 0 0 0 JENNIFER S LAWTON MD DIRECTOR 4.00 0.00 X 0 0 0 TOM C NGUYEN MD DIRECTOR 4.00 0.00 X 0 0 0 JOSEPH SABIK MD DIRECTOR - THRU 2/21 4.00 0.00 X 0 0 0 PRISCILLA KENNEDY EXECUTIVE DIRECTOR 40.00 0.00 X 104721 0 19154 104721 11000 19154 1 0 0 0 0 310586 2663991 358942 2974577 119712 119712 2686833 2348827 338006 338006 338006 3432295 0 0 457718 140000 140000 800270 800270 115000 115000 3494 3494 238 238 16500 16500 23184 23184 16022 653 5762 9607 2102 1051 1051 4642 4642 MISCELLANEOUS 17189 3463 13726 BAD DEBT EXPENSE -750 -750 RETURNED GRANTS -5965 -5965 1131926 1060437 56189 15300 1284011 1929452 74485 89212 838285 1138783 7677 3319 3046829 4555513 5251287 7716279 32570 34661 348750 502970 847 2700 382167 540331 X 2645504 3030333 2223616 4145615 4869120 7175948 5251287 7716279 2300369 6459 0 X 0 1 X 1 0 X 1465128 1466804 1749179 1347926 2974577 9003614 1465128 1466804 1749179 1347926 2974577 9003614 623527 725507 642647 883239 395509 3270429 0 623527 725507 642647 883239 395509 3270429 5733185 56960 62549 71482 71717 119712 382420 56960 62549 71482 71717 119712 382420 1522088 1529353 1820661 1419643 3094289 9386034 0.61080 0.51190 0.04070 0.03990 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1686175 1094509 272746 229507 2823923 1612218 38984 161661 126688 1686175 1439946 35134 313638 176500 1612218 1533571 288474 -144599 237500 1439946 1330943 193237 214391 205000 1533571 1.00000 0 0 0 3698916 6459 283346 289805 3409111 23184 23184 3432295 1392088 283346 283346 1108742 23184 23184 1131926 1 0 0 0 0 0 0 0 0 0 SUPPORT FOR QUALIFIED SURGEONS TO CONDUCT CHARITABLE OUTREACH TO UNDERSERVED REGIONS AND POPULATIONS. EUROPE (INCLUDING ICELAND AND GREENLAND) 1 35000 CASH PAYMENT SUPPORT OF ORIGINAL RESEARCH EFFORTS BY CARDIOTHORACIC SURGEONS WHO HAVE COMPLETED THEIR FORMAL TRAINING, AND WHO ARE SEEKING INITIAL SUPPORT AND RECOGNITION FOR THE RESEARCH PROGRAM. NORTH AMERICA 1 80000 CASH PAYMENT 0 0 0 0 0 0 PART I, LINE 2: EACH TSF GRANT PROJECT IS THOROUGHLY EVALUATED AND SCORED BY THREE TSF RESEARCH COMMITTEE REVIEWERS. THE RESEARCH REVIEWERS HAVE BEEN APPOINTED BY THE TSF PRESIDENT AND APPROVED BY THE TSF BOARD OF DIRECTORS, AND SPECIALIZE IN THORACIC SURGERY. THE GRANT APPLICANT IS REQUIRED TO SUBMIT HIS/HER APPLICATION INCLUDING CV, HIS/HER MENTOR'S CV, RESEARCH DESCRIPTION, PHOTO, AND THREE LETTERS OF RECOMMENDATION FROM THE APPLICANT'S SUPERIOR AT THE INSTITUTION OF WHICH THEY ARE APPLYING THE RESEARCH. THE LETTERS OF RECOMMENDATION MUST COME FROM DEPARTMENT CHAIRS, PROGRAM DIRECTORS, OR SPONSORS AT THE INSTITUTION IN WHICH THE RESEARCH OCCURS. THE APPLICANT'S SPONSOR'S CV IS ALSO EVALUATED. EACH SUBSEQUENT GRANT PAYMENT IS ISSUED AFTER THE APPLICANT SUBMITS A VALID PROGRESS REPORT, AND AFTER THE INSTITUTION SUPPLIES A SIGNED FINANCIAL PROGRESS REPORT VALIDATING THE EXPENSES. PART III ACCOUNTING METHOD: 1 UPMC PINNACLE FOUNDATION 409 S 2ND STREET SUITE 2A HARRISBURG PA 17104 222691718 501(C)(3) 35000 0 EVERY HEART BEAT MATTERS VOOM FOUNDATION 130 W SUPERIOR ST SUITE 926 DULUTH MN 55802 582678884 501(C)(3) 70000 0 EVERY HEART BEAT MATTERS INDIANA UNIVERSITY DEPT 7892 PO BOX 78000 DETORIT MI 482780920 356001673 501(C)(3) 35000 0 EVERY HEART BEAT MATTERS 3 0 STS/EACTS AWARD 1 2500 CAROLYN REED TRAVELING FELLOWSHIP 3 10470 LEVI WATKINS FELLOWSHIPS 1 3200 REPLOGLE FELLOWSHIPS 1 10000 SARNS TERUMO PERFUSION EDUCATION FELLOWSHIP AWARD 1 10000 TSF RESEARCH AWARD 7 440000 TSF INT'L MEDICAL VOL. EDWARDS 3 7500 ALLEY SHERIDAN SCHOLARSHIPS 3 15000 MICHAEL J. DAVIDSON FELLOWSHIP 2 100000 STS RESEARCH AWARD 1 80000 STSA RESEARCH AWARD 1 30000 BRAUNWALD AWARD 2 90000 PART I, LINE 2: EACH TSF GRANT PROJECT IS THOROUGHLY EVALUATED AND SCORED BY THREE TSF RESEARCH COMMITTEE REVIEWERS. THE RESEARCH REVIEWERS HAVE BEEN APPOINTED BY THE TSF PRESIDENT AND APPROVED BY THE TSF BOARD OF DIRECTORS, AND SPECIALIZE IN THORACIC SURGERY. THE GRANT APPLICANT IS REQUIRED TO SUBMIT HIS/HER APPLICATION INCLUDING CV, HIS/HER MENTOR'S CV, RESEARCH DESCRIPTION, PHOTO, AND THREE LETTERS OF RECOMMENDATION FROM THE APPLICANT'S SUPERIOR AT THE INSTITUTION OF WHICH THEY ARE APPLYING THE RESEARCH. THE LETTERS OF RECOMMENDATION MUST COME FROM DEPARTMENT CHAIRS, PROGRAM DIRECTORS, OR SPONSORS AT THE INSTITUTION IN WHICH THE RESEARCH OCCURS. THE APPLICANT'S SPONSOR'S CV IS ALSO EVALUATED. EACH SUBSEQUENT GRANT PAYMENT IS ISSUED AFTER THE APPLICANT SUBMITS A VALID PROGRESS REPORT, AND AFTER THE INSTITUTION SUPPLIES A SIGNED FINANCIAL PROGRESS REPORT VALIDATING THE EXPENSES. X 10832 358942 INVESTMENT STATEMENT 0 1 1 PART I, COLUMN (B): THE NUMBER OF CONTRIBUTIONS COLUMN REPRESENTS THE NUMBER OF SHARES DONATED DURING THE YEAR. PART I, LINE 32B: FIDUCIENT ADVISORS MANAGE THE SALES OF NON-CASH CONTRIBUTIONS BASED ON THE DIRECTION OF TSF. SCHEDULE M, LINE 31: TSF WILL NOT ACCEPT GIFTS THAT ARE EXCESSIVELY RESTRICTIVE IN PURPOSE, GIFTS THAT ARE OVERLY DIFFICULT TO ADMINISTER, OR GIFTS THAT ARE FOR PURPOSES OUTSIDE THE MISSION OF TSF. ALL FINAL DECISIONS ON THE RESTRICTIVE NATURE OF A GIFT, AND ITS ACCEPTANCE OR REFUSAL, SHALL BE MADE BY THE TSF BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 3 THE SOCIETY OF THORACIC SURGEONS (STS) OF CHICAGO, ILLINOIS, MAINTAINS THE BOOKS AND RECORDS OF THE ORGANIZATION AND PERFORMS OTHER RELATED MANAGERIAL AND ADMINISTRATIVE FUNCTIONS FOR WHICH IT IS COMPENSATED. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED BY THE ADMINISTRATIVE STAFF OF THE MANAGEMENT COMPANY (STS) AND IS THEN PROVIDED TO THE TREASURER, AND THEN GOVERNING BODY, FOR FINAL REVIEW BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C TSF HAS A FORMAL CONFLICT OF INTEREST POLICY. ALL BOARD AND COMMITTEE MEMBERS ARE REQUIRED TO SIGN THE POLICY AND DISCLOSE CONFLICTS ANNUALLY. THE SIGNED POLICY AND DISCLOSURES ARE SENT TO TSF ADMINISTRATION. THEY ARE RECORDED AND MONITORED PERIODICALLY THROUGHOUT THE YEAR. IF THERE IS A CONFLICT, IT IS BROUGHT TO THE ATTENTION OF THE BOARD PRESIDENT FOR FURTHER ACTION. THE BOARD PRESIDENT READS A DISCLOSURE STATEMENT AT THE BEGINNING OF EACH BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF THE EXECUTIVE DIRECTOR IS DETERMINED BY A RELATED ORGANIZATION, THE SOCIETY OF THORACIC SURGEONS OF CHICAGO. THE RELATED ORGANIZATION UTILIZES AN INDEPENDENT COMPENSATION CONSULTANT, AND COMPENSATION SURVEYS OR STUDIES, TO DETERMINE COMPENSATION OF THE EXECUTIVE DIRECTOR OF TSF. FORM 990, PART VI, SECTION C, LINE 18 FORM 990 IS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ADMINISTRATIVE OFFICES OF THE ORGANIZATION'S MANAGEMENT COMPANY (STS), AND ON THE FOUNDATION'S WEBSITE. FORM 990, PART VI, SECTION C, LINE 19 THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ADMINISTRATIVE OFFICES OF THE ORGANIZATION'S MANAGEMENT COMPANY. FORM 990, PART VII, SECTION A - COMPENSATION: COMPENSATION REPORTED FOR PRISCILLA S. KENNEDY, TSF EXECUTIVE DIRECTOR, IS PAID BY A RELATED ORGANIZATION AND COMMON PAYMASTER, THE SOCIETY OF THORACIC SURGEONS (STS) EIN 36-3022713. SINCE ALL SERVICES PERFORMED BY THESE INDIVIDUALS WERE FOR THE THORACIC SURGERY FOUNDATION, THE COMPENSATION HAS BEEN REPORTED IN COLUMN D AS IF PAID BY THE FILING ORGANIZATION. STS HAS COMPLIED WITH PAYROLL FILING REQUIREMENTS. THE SOCIETY OF THORACIC SURGEONS 633 N SAINT CLAIR ST CHICAGO IL 60611 363022713 TO ENHANCE THE ABILITY OF CARDIOTHORACIC SURGEONS. IL 501(C)(6) 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 THE SOCIETY OF THORACIC SURGEONS C 310586 CASH PAID