SIGN FRACTURE CARE INTERNATIONAL: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
SIGN FRACTURE CARE INTERNATIONAL (EIN 91-1952283)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-07-29
IRS object ID
202512109349300136
Schema version
2024v5.2
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)
Return2025-07-29T15:28:18-05:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

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 120AddressLine1Txt
CityRICHLANDCityNm
State AbbreviationWAStateAbbreviationCd
ZIP99352ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

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
Signature2025-07-24SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonALISON C GEBERSPreparerPersonNm
PTINP00423745PTIN
Phone5097351300PhoneNum
Preparation2025-07-24PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

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$8,082,596GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SIGNFRACTURECARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionGIVE PATIENTS ACCESS TO AFFORDABLE AND EFFECTIVE ORTHOPAEDIC CARE IN LMIC.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee43TotalEmployeeCnt
Total Volunteers53TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,466,734PYContributionsGrantsAmt
CY Contributions Grants$6,175,920CYContributionsGrantsAmt
PY Program Service Revenue$496,916PYProgramServiceRevenueAmt
CY Program Service Revenue$440,249CYProgramServiceRevenueAmt
PY Investment Income$205,918PYInvestmentIncomeAmt
CY Investment Income$345,163CYInvestmentIncomeAmt
PY Other Revenue$35,643PYOtherRevenueAmt
CY Other Revenue$44,230CYOtherRevenueAmt
PY Total Revenue$6,205,211PYTotalRevenueAmt
CY Total Revenue$7,005,562CYTotalRevenueAmt
PY Grants And Similar Paid$90,738PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$189,825CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,864,926PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,780,029CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$617,545CYTotalFundraisingExpenseAmt
PY Other Expenses$4,291,296PYOtherExpensesAmt
CY Other Expenses$3,654,989CYOtherExpensesAmt
PY Total Expenses$7,246,960PYTotalExpensesAmt
CY Total Expenses$6,624,843CYTotalExpensesAmt
PY Revenues Less Expenses-$1,041,749PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$380,719CYRevenuesLessExpensesAmt
Total Assets BOY$14,980,608TotalAssetsBOYAmt
Total Assets EOY$15,598,095TotalAssetsEOYAmt
Total Liabilities BOY$467,363TotalLiabilitiesBOYAmt
Total Liabilities EOY$407,801TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$14,513,245NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$15,190,294NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSIGN PARTNERS WITH OVERSEAS SURGEONS TO BUILD SUSTAINABLE ORTHOPAEDIC CAPACITY BY DONATING EDUCATION, INSTRUMENTS, AND IMPLANTS. BY WORKING WITH TEACHING HOSPITALS AND HOSTING EDUCATIONAL CONFERENCES WORLDWIDE, SIGN EQUIPS SURGEONS TO HEAL PATIENTS WITHIN THEIR OWN COMMUNITIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,341,608ExpenseAmt
Revenue$301,247RevenueAmt
DescNEARLY HALF OF THE WORLD LIVES ON LESS THAN $8.30 PER DAY. PATIENTS ARE TOO POOR TO BUY THE IMPLANTS NEEDED, AND MOST HOSPITALS DO NOT HAVE THE RESOURCES TO PURCHASE THE IMPLANTS. WHEN A PERSON LIVING IN A LOW- OR MIDDLE-INCOME COUNTRY (LMIC) BREAKS AN ARM OR LEG AND CANNOT AFFORD APPROPRIATE CARE, IT CAN EASILY SEND THEIR WHOLE FAMILY SPIRALING INTO POVERTY. WE DEVELOPED AN INNOVATIVE IMPLANT SYSTEM FOR TREATING PATIENTS IN LOW-RESOURCE HOSPITALS. THIS SYSTEM CAN BE USED WITHOUT EXPENSIVE X-RAY IMAGING OR ELECTRICITY. SIGN SURGERY TYPICALLY ENABLES A PATIENT WITH A FRACTURED BONE TO WALK IN 1 DAY, LEAVE THE HOSPITAL IN 1 WEEK, AND BE BACK AT WORK IN 1 MONTH. THE PATIENT AVOIDS POSSIBLE PERMANENT DISABILITY AND IS RETURNED TO MOBILITY. SEE SCHEDULE O ON HOW WE DISTRIBUTE APPROPRIATE ORTHOPAEDIC TECHNOLOGY.DISTRIBUTE 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 2024, THE ELBOW PLATE BENDING TEMPLATE WAS RELEASED. THE ELBOW PLATE BENDING TEMPLATE IS USED TO CONTOUR SMALL BONE FRAGMENTARY PLATES, SUCH AS THE SIGN FX PLATES, TO MATCH THE ANATOMY OF THE DISTAL HUMERUS AND OLECRANON WHEN STABILIZING ELBOW FRACTURES. THE TEMPLATE CAN BE USED WITH NON-SIGN PRODUCTS (LIKE THE 3.5MM RECONSTRUCTION PLATES) AND BOTH BEFORE AND DURING SURGERY.WE SUPPLY NEW SIGN 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 2024, WE DISTRIBUTED 27,107 SIGN NAILS TO 48 COUNTRIES. OUR AIM IS TO ENABLE THE POOR TO GAIN ACCESS TO AFFORDABLE ORTHOPAEDIC SURGERY, WHICH MEANS THE MAJORITY OF OUR IMPLANTS ARE DONATED FREE OF CHARGE TO THE PATIENT.WE STARTED 22 NEW SIGN PROGRAMS IN 2024. THE BREAKDOWN WAS AS FOLLOWS: AFRICA: 15 PROGRAMS ASIA: 6 PROGRAMS NORTH AMERICA: 1 (HAITI)WE HAVE ALSO BEGUN DEVELOPING A NEW KIND OF PROGRAM, FOCUSED ON PROVIDING EDUCATION AND IMPLANTS RELATING TO TREATING SPINE FRACTURES. THIS NEW PROGRAM IS REFERRED TO AS SIGN SPINE. WE STARTED SIGN SPINE PROGRAMS IN KENYA AND TANZANIA IN 2024 AND ARE PROJECTED TO START FIVE ADDITIONAL SIGN SPINE PROGRAMS IN THE COMING YEAR. AS OF DECEMBER 31, 2024, THE WORLD BANK INCOME CLASSIFICATIONS BY GNI FOR THE COUNTRIES WITH NEW SIGN PROGRAMS WERE AS FOLLOWS: LOW INCOME: 48% LOWER MIDDLE INCOME: 44% UPPER MIDDLE INCOME: 8%DISASTER AND CONFLICT RESPONSE:WE BELIEVE IN EQUALITY OF FRACTURE CARE FOR ALL, REGARDLESS OF GENDER, RELIGION, POLITICAL AFFILIATION, OR ANY OTHER IDENTITY. WE CONTINUE TO SUPPORT THE 17 SIGN PROGRAMS IN HAITI AS BEST AS WE ARE ABLE. THE ONGOING GANG VIOLENCE IN THE COUNTRY LIMITS OUR ABILITY TO PROVIDE REPLACEMENT SIGN IMPLANTS AND INSTRUMENTS AS AIRLINES ROUTINELY CANCEL FLIGHTS. WE CONTINUE TO COMMUNICATE WITH THE SURGEONS IN-COUNTRY AND SEND REPLACEMENT SIGN IMPLANTS AND INSTRUMENTS THROUGH AVAILABLE AVENUES AS THEY APPEAR.IN LATE 2024, A STUDENT-LED MOVEMENT OUSTED THE CURRENT PRIME MINISTER OF BANGLADESH. THE FALLOUT OF THE MOVEMENT RESULTED IN AN INCREASE IN VIOLENCE FROM VARIOUS INTERNAL GROUPS. A LOCAL SIGN SURGEON ALERTED US TO THE INCREASE IN FRACTURE PATIENTS IN THE WEEKS FOLLOWING THE OUSTING OF THE FORMER PRIME MINISTER AND REQUESTED ADDITIONAL SIGN NAILS AND INSTRUMENT SETS TO TREAT THE INFLUX OF PATIENTS. IN RESPONSE TO THEIR REQUEST, WE PROVIDE TWO ADDITIONAL SIGN SETS AND 130 SIGN NAILS TO ASSIST WITH THE INCREASED PATIENT LOAD.IN MYANMAR, THE EFFECTS OF THE MILITARY COUP ARE STILL FELT BY THE POOR POPULATION, AND ACCESS TO FRACTURE CARE IS CRUCIAL. WE CONTINUE TO SUPPORT THE SIGN PROGRAMS THERE WITH IMPLANTS AND INSTRUMENTS WHEN WE'RE ABLE TO SHIP TO THEM.WE ARE ALSO SUPPORTING MANY HOSPITALS IN AFGHANISTAN AS THEY NAVIGATE THROUGH THEIR TUMULTUOUS LANDSCAPE, AND WORK WITH LOCAL SURGEONS TO ENSURE THE AVAILABILITY OF FRACTURE CARE IS WIDESPREAD FOR THE POOR POPULATION. IN EARLY 2024, WE WERE ABLE TO START 2 NEW SIGN PROGRAMS IN AFGHANISTAN AND ARE LOOKING FORWARD TO WORKING WITH THEM IN THE FUTURE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,261,573ExpenseAmt
Grant$189,825GrantAmt
Revenue$52,177RevenueAmt
DescWE BUILD SUSTAINABLE ORTHOPAEDIC CAPACITY IN LMIC BY EDUCATING LOCAL SURGEONS TO CARE FOR PATIENTS IN THEIR HOME COMMUNITIES. FOR 26 YEARS, SIGN HAS BEEN WORKING ALONGSIDE SURGEONS IN LMIC, RAISING ORTHOPAEDIC KNOWLEDGE AND SKILL. WE NOW RELY ON SIGN SURGEON MENTORS TO PROVIDE EDUCATION TO NEW SURGEONS. ONCE NEW SURGEONS ARE TRAINED, THEY RECEIVE THEIR OWN STARTER SET OF THE SIGN IM NAIL SYSTEM WITH TRAINING MATERIALS INCLUDED. THE TRAINING MANUALS ARE AUGMENTED BY ONLINE MENTORSHIP VIA THE SIGN SURGICAL DATABASE (SSDB). SURGEONS ARE REQUIRED TO ENTER CASES INTO THE SSDB IN EXCHANGE FOR A FREE RESUPPLY OF SIGN NAILS. EACH CASE IS REVIEWED BY AN ORTHOPAEDIC SURGEON FROM OUR BOARD OR EXPERIENCED SIGN SURGEON MENTORS. THEIR FEEDBACK ON EACH CASE IS SENT TO ALL ORTHOPAEDIC SURGEONS AT THAT HOSPITAL VIA EMAIL.WE 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; AND 3) PROVIDE TRAINING IN ORTHOPAEDIC AND TRAUMA PROCEDURES FOR INJURIES SUCH AS OPEN WOUNDS, LIMB DEFORMITY, PEDIATRIC, AND PELVIC.EXPAND TRAINING AND EDUCATIONAL OPPORTUNITIES:THE ANNUAL SIGN CONFERENCE WAS HELD IN SEPTEMBER 2024 AT SIGN HEADQUARTERS IN RICHLAND, WASHINGTON. THIS CONFERENCE PROVIDED A COMBINATION OF DIDACTIC LECTURES ON FRACTURE MANAGEMENT, CASE STUDIES, SEVEN CADAVER LAB SESSIONS, AND A SPECIAL FULL-DAY SESSION ON THORACIC SPINE.THE 2024 SIGN CONFERENCE FEATURED 62 SURGEONS FROM 26 COUNTRIES AND INCLUDED TWO NEW SESSIONS: A FIRST TIME ATTENDEE ORIENTATION AND A PILOT BIOSKILLS LAB ON HEMIARTHROPLASTY. THE FIRST TIME ATTENDEE ORIENTATION WAS ATTENDED BY 11 SURGEONS AND INCLUDED A TOUR OF SIGN HQ AND BREAKOUT SESSIONS TO FAMILIARIZE NEW ATTENDEES WITH OUR INSTRUMENTS AND IMPLANTS.THE BIOSKILLS LAB AND PROCEDURAL LEARNING CENTER, WHICH WAS COMPLETED IN EARLY 2022, CONTINUES TO BE A FOCAL POINT DURING THE SIGN CONFERENCE. THESE FACILITIES ALLOW CONFERENCE ATTENDEES TO EXPERIENCE HANDS-ON TRAINING FROM EXPERT CLINICAL EDUCATORS. THE LAB SESSIONS TEACH CRITICAL TECHNIQUES SUCH AS PELVIC FRACTURES/HEMIARTHROPLASTY, PROXIMAL FEMUR FRACTURES, ELBOW FRACTURES, ANKLE FRACTURES/FUSIONS, THORACIC SPINE, AND TIBIAL PLATEAU FRACTURES. WE CONTINUE TO DEVELOP OUR RELATIONSHIP WITH THE INSTITUTE FOR GLOBAL ORTHOPAEDICS AND TRAUMATOLOGY (IGOT). IN 2024, IGOT HOSTED THEIR THREE-DAY SURGICAL MANAGEMENT AND RECONSTRUCTIVE TRAINING COURSE (SMART) COURSE AT SIGN HEADQUARTERS AFTER THE CONCLUSION OF THE SIGN CONFERENCE. THIS ALLOWED NEARLY ALL CONFERENCE ATTENDEES TO ATTEND AND RECEIVE ADDITIONAL CADAVER TRAINING IN FLAPS FOR SOFT TISSUE RECONSTRUCTION AND DEFORMITY CORRECTION. THE SMART COURSE INCLUDED A "REAL-LIFE" SURGICAL CASE SIMULATION, PROVIDING ATTENDEES WITH THE OPPORTUNITY TO APPLY THE SKILLS THEY LEARNED OVER THE WEEK INTO PRACTICE. IGOT ALSO HELD A CLINICAL RESEARCH SYMPOSIUM FOCUSED ON CONDUCTING STUDIES TO ADDRESS CRITICAL TREATMENT QUESTIONS FACED BY THE ATTENDEES' SPECIFIC PATIENT POPULATIONS.IGOT ALSO PROVIDES REGIONAL TRAINING IN OTHER SURGICAL TECHNIQUES TO SIGN SURGEONS IN EAST AFRICA AND NEPAL.THE 1ST INTERNATIONAL SIGN CONFERENCE WAS HELD AT SHAHAB ORTHOPAEDIC HOSPITAL IN PESHAWAR, PAKISTAN IN APRIL 2024. MORE THAN 60 AFGHANI AND PAKISTANI SURGEONS ATTENDED AND DOZENS MORE PARTICIPATED VIA TELECONFERENCE. MODELING THE FORMAT AFTER THE ANNUAL SIGN CONFERENCE IN RICHLAND, WA, DR. FASEEH SHAHAB ORGANIZED LOCAL SURGEONS TO BE THE PRIMARY FACULTY, PROVIDING LECTURES THAT HIGHLIGHTED THEIR EXPERTISE, RESEARCH, AND EXPERIENCE.IN ADDITION, EXPERT SURGEONS FROM AROUND THE WORLD PRESENTED VIA ZOOM, INCLUDING DR. LEWIS ZIRKLE, SIGN PRESIDENT AND FOUNDER, AND DR. DAVID SHEARER, VICE PRESIDENT OF THE SIGN BOARD, DR. AUNG THEIN HTAY FROM MYANMAR, AND DR. ISMAIL WARDAK FROM AFGHANISTAN.SIGN AND IGOT PARTNERED WITH THE MUHIMBILI ORTHOPAEDIC INSTITUTE TO HOLD THE 9TH ANNUAL TANZANIA SMART COURSE IN JUNE 2024. OVER 140 SURGEONS ATTENDED THE COURSE FOCUSING ON A MIX OF DIDACTIC LECTURES AND DEMONSTRATIONS FOR ORTHOPAEDIC SURGEONS AND RESIDENTS. COURSE TOPICS INCLUDED HIP AND KNEE, UPPER EXTREMITY, PELVIS AND ACETABULUM, LIMB DEFORMITY, OPEN FRACTURES, AND SOFT-TISSUE FLAPS.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. OUR IT DEPARTMENT HAS IMPROVED THE STUDIES AND RESEARCH TOOLS ON THE DATABASE TO ACCOMMODATE USER NEEDS AND UPDATED THE BACK-END FRAMEWORK OF THE DATABASE TO IMPROVE OVERALL EFFICIENCY.WE CONTINUE TO PARTNER WITH BLACK LION HOSPITAL, IN ADDIS ABABA, ETHIOPIA ON THE FIRST EAST AFRICAN PELVIC FELLOWSHIP PROGRAM. SINCE THE BEGINNING OF THIS PARTNERSHIP, 9 SURGEONS FROM 5 COUNTRIES HAVE COMPLETED THEIR FELLOWSHIP. 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 25 CASES WITHIN THE THREE-MONTH PERIOD, THEY ARE ELIGIBLE TO APPLY TO START THEIR OWN SIGN PROGRAM. WE STARTED 3 NEW PROGRAMS IN ETHIOPIA AND 3 NEW PROGRAMS IN TANZANIA VIA THE TRAVELING SETS IN 2024. BASED ON THE SUCCESS OF THE PREVIOUS TRAVELING SETS, WE HAVE ADDED NEW TRAVELING SET PROGRAMS IN TANZANIA AND GHANA.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$41,671ExpenseAmt
Revenue$86,825RevenueAmt
DescPEOPLE LIVING IN LMIC CANNOT ACCESS SPINE CARE WHEN IT IS NOT AVAILABLE IN THEIR COMMUNITY. THE INCIDENCE OF TRAUMATIC SPINAL INJURIES IN LMIC IS ESTIMATED TO BE 13.7 CASES PER 100,000 PERSONS. SIGN HAS IMPLEMENTED A SIGN SPINE PROGRAM AT TWO HOSPITALS IN TWO COUNTIES. WE HAVE PLANS TO EXPAND INTO THREE MORE COUNTRIES WITH A TOTAL OF 10 SITES. WE HAVE THREE GOALS: 1. IMPROVE ACCESS TO SAFE SPINE SURGERY WORLDWIDE. 2. IMPROVE ACCESS TO SPINE SURGICAL EDUCATION AND TRAINING. 3. IMPROVE ACCESS TO AFFORDABLE SPINE IMPLANTS. SIGN IS PARTNERING WITH TEACHING HOSPITALS IN CANADA TO PROVIDE YEAR-LONG FELLOWSHIPS FOR SURGEONS FROM LMIC HOSPITALS. THE GRADUATES WILL RETURN TO THEIR HOSPITALS TO PROVIDE SAFE, EFFECTIVE CARE FOR PATIENTS WITH SPINE INJURIES, AS WELL AS PROVIDE TRAINING TO OTHER SURGEONS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$5,644,852TotalProgramServiceExpensesAmt
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 OrgYes (1)MoreThan5000KToOrgInd
More Than5000 K To IndividualsYes (1)MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
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 Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee43EmployeeCnt
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
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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 (17 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
DANIELE SCIUTO MD
BOARD MEMBER9.50Yes (X)$0$0$0
LEWIS G ZIRKLE MD
PRESIDENT/FOUNDER60.00Yes (X)$0$0$0Yes (X)
RANDALL HUEBNER
BOARD MEMBER20.00Yes (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 MEMBER10.00Yes (X)$0$0$0
MICHAEL COSCIA MD
BOARD MEMBER20.00Yes (X)$0$0$0
BEN RIVERA
BOARD MEMBER1.50Yes (X)$0$0$0
JEANNE DILLNER
SECRETARY/TREASURER/CEO60.00$182,707$0$16,273Yes (X)
ROBERT SCHMITT
REGULATORY AFFAIRS MANAGER40.00$138,208$0$14,493Yes (X)
TERRY SMITH
ENGINEERING MANAGER40.00$161,840$0$6,738Yes (X)
BRIAN BARNES
IT MANAGER40.00$128,507$0$13,856Yes (X)
JOEL GILLARD
SENIOR R&D ENGINEER40.00$116,464$0$15,418Yes (X)
FRANKLYN FAULTERSACK
QUALITY ASSURANCE MANAGER40.00$110,779$0$30,928Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$838,505TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$97,706TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$84,990FundraisingAmt
All Other Contributions$6,090,930AllOtherContributionsAmt
Noncash Contributions$498,756NoncashContributionsAmt
Total Contributions$6,175,920TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
IMPLANT REVENUE339110$388,072$388,072
OTHER REVENUE541900$44,164$44,164
TRAINING CONFERENCE611430$8,013$8,013
FieldValueIRS element (for citing)
Total Program Service Revenue$440,249TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$148,841TotalRevenueColumnAmt
Exclusion$148,841ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$66,600RealAmt

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$48,922RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$48,922TotalRevenueColumnAmt
Exclusion$48,922ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,232,070SecuritiesAmt
Other$6,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,024,140SecuritiesAmt
Other$17,608OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$207,930SecuritiesAmt
Other-$11,608OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$196,322TotalRevenueColumnAmt
Exclusion$196,322ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$12,916FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$84,990ContriRptFundraisingEventAmt
Fundraising Direct Expenses$17,608FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$4,692TotalRevenueColumnAmt
Exclusion-$4,692ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,005,562TotalRevenueColumnAmt
Related Or Exempt Func Income$440,249RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$389,393ExclusionAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$189,825TotalAmt
Program Services$189,825ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$184,690TotalAmt
Program Services$148,232ProgramServicesAmt
Management And General$13,852ManagementAndGeneralAmt
Fundraising$22,606FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,595,339TotalAmt
Program Services$1,958,215ProgramServicesAmt
Management And General$224,138ManagementAndGeneralAmt
Fundraising$412,986FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$24,567TotalAmt
Management And General$24,567ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$120,448TotalAmt
Program Services$47,539ProgramServicesAmt
Management And General$30,513ManagementAndGeneralAmt
Fundraising$42,396FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,283TotalAmt
Program Services$7,728ProgramServicesAmt
Management And General$196ManagementAndGeneralAmt
Fundraising$359FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$51,168TotalAmt
Program Services$48,083ProgramServicesAmt
Management And General$1,521ManagementAndGeneralAmt
Fundraising$1,564FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$178,391TotalAmt
Program Services$178,391ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$247,485TotalAmt
Program Services$204,355ProgramServicesAmt
Management And General$15,012ManagementAndGeneralAmt
Fundraising$28,118FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$18,641TotalAmt
Program Services$14,108ProgramServicesAmt
Management And General$1,600ManagementAndGeneralAmt
Fundraising$2,933FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
COST OF PRODUCT DISTRIB$2,066,007$2,066,007
SUPPLIES$587,929$511,514$12,762$63,653
SHIPPING$125,950$125,950
DUES, FEES AND TAXES$74,303$30,838$19,668$23,797

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$151,817TotalAmt
Program Services$114,067ProgramServicesAmt
Management And General$18,617ManagementAndGeneralAmt
Fundraising$19,133FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,624,843TotalAmt
Program Services$5,644,852ProgramServicesAmt
Management And General$362,446ManagementAndGeneralAmt
Fundraising$617,545FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,121,718BOYAmt
EOY$1,813,294EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,403,653BOYAmt
EOY$1,987,581EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$66,958BOYAmt
EOY$110,680EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,200,185BOYAmt
EOY$1,036,574EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$162,094BOYAmt
EOY$137,011EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,747,163LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,775,351LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,947,637BOYAmt
EOY$4,971,812EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$5,066,619BOYAmt
EOY$5,531,828EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$11,744BOYAmt
EOY$9,315EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$14,980,608BOYAmt
EOY$15,598,095EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$467,363BOYAmt
EOY$407,801EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$467,363BOYAmt
EOY$407,801EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,499,738BOYAmt
EOY$14,326,232EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,013,507BOYAmt
EOY$864,062EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,513,245BOYAmt
EOY$15,190,294EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,980,608BOYAmt
EOY$15,598,095EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$380,719ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$296,330NetUnrlzdGainsLossesInvstAmt
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$5,247,095CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,982,956CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,595,978CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,466,734CurrentTaxYearMinus1YearAmt
Current Tax Year$6,175,920CurrentTaxYearAmt
Total$31,468,683TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$878,615CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,084,354CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$795,028CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$496,916CurrentTaxYearMinus1YearAmt
Current Tax Year$440,249CurrentTaxYearAmt
Total$3,695,162TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,125,710CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,067,310CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,391,006CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,963,650CurrentTaxYearMinus1YearAmt
Current Tax Year$6,616,169CurrentTaxYearAmt
Total$35,163,845TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$169,090CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$758,238CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$234,783CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$255,537CurrentTaxYearMinus1YearAmt
Current Tax Year$317,787CurrentTaxYearAmt
Total$1,735,435TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$552,226CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$560,894CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$408,616CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$178,859CurrentTaxYearMinus1YearAmt
Current Tax Year$81,779CurrentTaxYearAmt
Total$1,782,374TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$721,316CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,319,132CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$643,399CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$434,396CurrentTaxYearMinus1YearAmt
Current Tax Year$399,566CurrentTaxYearAmt
Total$3,517,809TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$31,646,036PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$151,940CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$156,555CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$155,866CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$207,407CurrentTaxYearMinus1YearAmt
Current Tax Year$215,441CurrentTaxYearAmt
Total$887,209TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$151,940CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$156,555CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$155,866CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$207,407CurrentTaxYearMinus1YearAmt
Current Tax Year$215,441CurrentTaxYearAmt
Total$887,209TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,277,650CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,223,865CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,546,872CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,171,057CurrentTaxYearMinus1YearAmt
Current Tax Year$6,831,610CurrentTaxYearAmt
Total$36,051,054TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.87780PublicSupportCY509Pct
Public Support PY5090.86590PublicSupportPY509Pct
Investment Income CY0.02460InvestmentIncomeCYPct
Investment Income PY0.02110InvestmentIncomePYPct
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$372,208DepreciationAmt
Book Value$1,259,180BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,044,338OtherCostOrOtherBasisAmt
Depreciation$893,712DepreciationAmt
Book Value$1,150,626BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,261,328OtherCostOrOtherBasisAmt
Depreciation$2,029,392DepreciationAmt
Book Value$1,231,936BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$930,109OtherCostOrOtherBasisAmt
Depreciation$480,039DepreciationAmt
Book Value$450,070BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,971,812TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$9,628,768TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$296,330NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$2,279,982DonatedServicesAndUseFcltsAmt
Other Revenue$46,894OtherRevenueAmt
Revenue Not Reported$2,623,206RevenueNotReportedAmt
Revenue Subtotal$7,005,562RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$7,005,562TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$8,951,719TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$2,279,982DonatedServicesUseFcltsAmt
Other Expenses Included$46,894OtherExpensesIncludedAmt
Expenses Not Reported$2,326,876ExpensesNotReportedAmt
Expenses Subtotal$6,624,843ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$6,624,843TotalExpensesPerForm990Amt

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. SPECIAL EVENT EXPENSES 17,608. LOSS ON DISPOSAL OF EQUIPMENT 11,608.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 17,678. LOSS ON DISPOSAL OF EQUIPMENT 11,608. SPECIAL EVENT EXPENSES 17,608.

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (7 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN00PROGRAM SERVICESORTHOPAEDIC IMPLANTS$90,035
EAST ASIA AND THE PACIFIC00PROGRAM SERVICESORTHOPAEDIC IMPLANTS$300,295
MIDDLE EAST AND NORTH AFRICA00PROGRAM SERVICESORTHOPAEDIC IMPLANTS$29,740
SOUTH AMERICA00PROGRAM SERVICESORTHOPAEDIC IMPLANTS$27,095
SOUTH ASIA00PROGRAM SERVICESORTHOPAEDIC IMPLANTS$1,402,506
SUB-SAHARAN AFRICA00PROGRAM SERVICESORTHOPAEDIC IMPLANTS$3,968,565
SUB-SAHARAN AFRICA00GRANTSTRAINING, IMPLANTS, STIPEND$187,466
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$6,005,702SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$6,005,702TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (2 entries)

RegionRegionTxtPurpose Of GrantPurposeOfGrantTxtCash GrantCashGrantAmtManner Of Cash DisbursementMannerOfCashDisbursementTxtNon Cash AssistanceNonCashAssistanceAmt
SUB-SAHARAN AFRICAFELLOWSHIP STIPEND$99,043WIRE$0
SUB-SAHARAN AFRICAFELLOWSHIP STIPEND$10,000WIRE$0
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Foreign Individuals Grants ForeignIndividualsGrantsGrp

FieldValueIRS element (for citing)
Type Of AssistanceFELLOWSHIP STIPENDTypeOfAssistanceTxt
RegionSUB-SAHARAN AFRICARegionTxt
Recipient2RecipientCnt
Cash Grant$74,295CashGrantAmt
Manner Of Cash DisbursementWIREMannerOfCashDisbursementTxt
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

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationGRANT 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.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1TRI-CITY BENEFITEvent1Nm
Gross Receipts Event1$97,906GrossReceiptsEvent1Amt
Charitable Contri Event1$84,990CharitableContriEvent1Amt
Gross Revenue Event1$12,916GrossRevenueEvent1Amt
Food And Beverage Event1$12,916FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$4,692OtherDirectExpensesEvent1Amt
Gross Receipts Total$97,906GrossReceiptsTotalAmt
Charitable Contributions Tot$84,990CharitableContributionsTotAmt
Gross Revenue Total Events$12,916GrossRevenueTotalEventsAmt
Food And Beverage Total Events$12,916FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$4,692OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$17,608DirectExpenseSummaryEventsAmt
Net Income Summary-$4,692NetIncomeSummaryAmt

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 (3 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$182,707$0$0$0$0$0$7,388$0$8,885$0$198,980$0$0$0
TERRY SMITH
ENGINEERING MANAGER$161,840$0$0$0$0$0$6,479$0$259$0$168,578$0$0$0
ROBERT SCHMITT
REGULATORY AFFAIRS MANAGER$138,208$0$0$0$0$0$5,608$0$8,885$0$152,701$0$0$0

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublicationsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$880NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR VALUEMethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$720NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR VALUEMethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution5ContributionCnt
Noncash Contributions Rpt F990$80,670NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR VALUEMethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$3,300NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR VALUEMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution30ContributionCnt
Noncash Contributions Rpt F990$350,914NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR VALUEMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)OTHER6$27,215FAIR VALUE
Yes (X)TRAVEL EXPENSES FOR TRAINING5$18,361FAIR VALUE
Yes (X)OFFICE SUPPLIES19$16,697FAIR 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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