2020-10-21T11:07:55-05:00 2019-12-31 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2019-01-01 363635910 THE THORACIC SURGERY FOUNDATION THOR 3122025815 633 N ST CLAIR SUITE 2100 CHICAGO IL 60611 VIRGINIA R LITLE MD TREASURER 3122025815 2020-10-02 1 DAVID LOWENTHAL P00378651 3122071040 2020-10-01 99.137.156.52 2020-10-02 10:33:06 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 23D9C3BAD3C11415BCA5E3AEE50D281DF37E870F 2019 2021-01-29 14:40:06Z VIRGINIA R LITLE MD 633 N ST CLAIR SUITE 2100 CHICAGO IL 60611 2920020 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. 12 12 0 12 0 0 1466804 1749179 0 0 94368 146957 0 0 1561172 1896136 883811 1130641 0 0 0 0 0 0 38203 350781 144350 1234592 1274991 326580 621145 3887726 4803180 380980 468059 3506746 4335121 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 1169263 1130641 DURING THE YEAR, TSF AWARDED A TOTAL OF 109 AWARDS CONSISTING OF 7 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), 6 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 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 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), 10 ALLEY-SHERIDAN AWARDS (SUPPORTS EDUCATIONAL OPPORTUNITIES FOR CARDIOTHORACIC SURGEONS TO ATTEND THE LEADERSHIP PROGRAM IN HEALTH POLICY MANAGEMENT OFFERED BY BRANDEIS UNIVERSITY), 1 DAVIDSON FELLOWSHIP (SUPPORTS A YOUNG EARLY-CAREER CARDIOTHORACIC SURGEON COMMITTED TO THE VISION OF INNOVATIVE AND COLLABORATIVE CARDIOVASCULAR CARE), 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), 64 LATIN AMERICA TRAVEL AWARDS TO ATTEND THE EACTS/STS CARDIOVASCULAR CONFERENCE, 1 REPLOGLE AWARD (SUPPORT CONTINUING EDUCATION OF SURGEON OR RESIDENT COMMITTED TO THE TREATMENT OF CONGENITAL HEART DISEASE IN NEONATES, INFANTS, CHILDREN AND ADULTS), 6 INTERNATIONAL MEDICAL VOLUNTEER SCHOLARSHIPS (PROVIDE GLOBAL CARDIOTHORACIC SURGERY VOLUNTEER EXPERIENCE FOR A CARDIOTHORACIC SURGERY RESIDENT OR SURGEON UNDER THE MENTORSHIPS OF AN EXPERIENCED SURGEON VOLUNTEER), 1 SARNS TERUMO PERFUSION FELLOWSHIP AWARD (SUPPORT CONTINUING EDUCATION OF A BOARD CERTIFIED PERFUSIONIST COMMITTED TO EXPAND CARDIOVASCULAR PERFUSION EDUCATION), AND 5 ROBOTIC CARDIAC SURGERY FELLOWSHIPS (SUPPORT A SURGEON WITH THE INITIATION OF A HIGH QUALITY ROBOTIC CARDIAC SURGERY PROGRAM AT THEIR INSTITUTION). 1169263 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 0 0 0 0 0 1 0 1 0 1 13 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 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 JOSEPH E BAVARIA MD PRESIDENT 12.00 0.00 X X 0 0 0 KEITH S NAUNHEIM MD VICE PRESIDENT 12.00 0.00 X X 0 0 0 SHANDA H BLACKMON MD SECRETARY 12.00 0.00 X X 0 0 0 VIRGINIA R LITLE MD TREASURER 12.00 0.00 X X 0 0 0 JOSEPH A DEARANI MD DIRECTOR 4.00 0.00 X 0 1000 0 ROBERT S D HIGGINS MD DIRECTOR 4.00 0.00 X 0 8000 0 LAUREN C KANE MD DIRECTOR 4.00 0.00 X 0 0 0 SCOTT A LEMAIRE MD DIRECTOR 4.00 0.00 X 0 0 0 THOMAS E MACGILLIVRAY MD DIRECTOR 4.00 0.00 X 0 1000 0 JOSEPH F SABIK III MD DIRECTOR 4.00 0.00 X 0 5500 0 VINOD THOURANI MD DIRECTOR 4.00 0.00 X 0 0 0 DOUGLAS E WOOD MD DIRECTOR 4.00 0.00 X 0 0 0 MARK ALLEN MD DIRECTOR 4.00 0.00 X 0 0 0 DAVID FULLERTON MD DIRECTOR 4.00 0.00 X 0 0 0 PRISCILLA KENNEDY EXECUTIVE DIRECTOR 40.00 0.00 X 99225 0 19108 99225 15500 19108 0 0 0 0 0 607112 1142067 18435 1749179 71482 71482 1099359 1023884 75475 75475 75475 1896136 0 0 146957 346650 346650 589850 589850 194141 194141 1732 1732 17700 17700 13018 13018 19433 1067 6426 11940 12071 3751 4569 3751 31431 8919 22512 VIDEO PRODUCTION 43942 43942 MISCELLANEOUS 13231 3570 9661 BAD DEBT EXPENSE 5500 5500 RETURNED GRANTS -13708 -13708 1274991 1169263 67525 38203 1533247 1920071 41707 47421 613252 410235 6409 7494 1693111 2417959 3887726 4803180 73480 99309 307500 368750 380980 468059 X 1497960 1977014 2008786 2358107 3506746 4335121 3887726 4803180 621145 207230 0 X 0 1 X 1 0 X 880422 1517967 1465128 1466804 1749179 7079500 880422 1517967 1465128 1466804 1749179 7079500 438098 647809 623527 725507 642647 3077588 0 438098 647809 623527 725507 642647 3077588 4001912 49516 51122 56960 62549 71482 291629 49516 51122 56960 62549 71482 291629 929938 1569089 1522088 1529353 1820661 7371129 0.54290 0.54110 0.03960 0.04250 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1439946 35134 313638 0 -176500 1612218 1533571 163474 -144599 -125000 237500 1439946 1330943 133834 214391 -59403 205000 1533571 973645 335425 116123 94250 1330943 1136089 42760 -78554 126650 973645 1.00000 0 0 0 2320396 207230 230048 437278 1883118 13018 13018 1896136 1492021 230048 230048 1261973 13018 13018 1274991 1 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS 0 0 GRANT MAKING CONFERENCE ATTENDANCE 54141 NORTH AMERICA 0 0 GRANT MAKING 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. 140000 0 0 0 0 0 0 194141 0 194141 CONFERENCE ATTENDANCE-LODGING AND REGISTRATION FEES CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS 64 54141 CASH PAYMENT 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. NORTH AMERICA 1 140000 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 TEAM HEART 7070 W BELMONT DR LITTLETON CO 80123 271435443 501(C)(3) 37500 EVERY HEART BEAT MATTERS CHILDREN'S NATIONAL RESEARCH INSTITUTE 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 521654453 501(C)(3) 35000 EVERY HEART BEAT MATTERS VOOM FOUNDATION 130 W SUPERIOR ST SUITE 926 DULUTH MN 55802 582678884 501(C)(3) 70000 EVERY HEART BEAT MATTERS JOYCE FAMILY FOUNDATION 12037 W BONNIWELL ROAD MEQUON WI 53097 411797421 501(C)(3) 35000 EVERY HEART BEAT MATTERS UNIVERSITY OF COLORADO PO BOX 910238 DENVER CO 80291 846049811 501(C)(3) 37500 EVERY HEART BEAT MATTERS UNIVERSITY OF UTAH CARDIOTHORACIC SURGERY 30 N 1900 EAST SOM 3C-127 SALT LAKE CITY UT 84132 876000525 501(C)(3) 31650 EVERY HEART BEAT MATTERS REGENTS OF THE UNIVERSITY OF MICHIGAN 1500 EAST MEDICAL CENTER DRIVE CVC 5144 ANN ARBOR MI 48109 386006309 501(C)(3) 25000 ROBOTIC CARDIAC FELLOWSHIP ST JOHN HEALTH SYSTEM FOUNDATION INC 1923 S UTICA TULSA OK 74104 731133139 501(C)(3) 25000 ROBOTIC CARDIAC FELLOWSHIP MCGOVERN MEDICAL SCHOOL DEP OF CARDIOTHORACIC AND VASCULAR SURGERY 6431 FANNIN SUITE 6156 HOUSTON TX 77030 741761309 501(C)(3) 25000 ROBOTIC CARDIAC FELLOWSHIP MAYO CLINIC PO BOX 860334 MINNEAPOLIS MN 55486 416011702 501(C)(3) 25000 ROBOTIC CARDIAC FELLOWSHIP 10 0 LEVI WATKINS FELLOWSHIP 1 5000 CAROLYN REED TRAVELING FELLOWSHIP 3 16500 MICHAEL DAVIDSON FELLOWSHIP 1 25000 SARNS TERUMO PERFUSION EDUCATION FELLOWSHIP AWARD 1 10000 ROBOTIC CARDIAC FELLOWSHIP 1 25000 TSF RESEARCH 5 310000 BRAUNWALAD RESEARCH AWARD 2 90000 STSA RESEARCH AWARD 1 60000 REPLOGLE TRAVELING FELLOWSHIP 1 10000 TSF INT'L MEDICAL VOL. EDWARDS AWARDS 6 13350 ALLEY SHERIDAN 10 25000 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. 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 THIS INDIVIDUAL 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 607112 CASH PAID