SIGN FRACTURE CARE INTERNATIONAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: SIGN FRACTURE CARE INTERNATIONAL (EIN 91-1952283)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-07-03
IRS object ID: 201901849349301150
Schema version: 2018v3.1
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule F
Schedule G
Schedule J
Schedule L
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-07-03T16:01:31-05:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	562382653	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Northwest CPA Group PLLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1333 Columbia Park Trail Ste 210	AddressLine1Txt
City	Richland	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	99352	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	911952283	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SIGN Fracture Care International	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SIGN	BusinessNameControlTxt
Phone	5093711107	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	451 Hills Street Suite B	AddressLine1Txt
City	Richland	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	99354	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Jeanne Dillner	PersonNm
Person Title	Chief Executive Officer	PersonTitleTxt
Phone	5093711107	PhoneNum
Signature	2019-06-28	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Alison C Gebers	PreparerPersonNm
PTIN	P00423745	PTIN
Phone	5097351300	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	64.146.129.8	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-06-28	IPDt
IP Tm	13:14:55	IPTm
IP Timezone	PD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	A91EF04F74A0564A03B0D327BD4BB47988B7FAD5	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SIGN	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	451 Hills Street Suite B	AddressLine1Txt
City	Richland	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	99354	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$7,406,602	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.signfracturecare.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1999	FormationYr
Legal Domicile State	WA	LegalDomicileStateCd
Activity Or Mission	Build orthopaedic capacity in developing countries by providing orthopaedic training and implants.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	55	TotalEmployeeCnt
Total Volunteers	94	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,895,228	PYContributionsGrantsAmt
CY Contributions Grants	$3,573,413	CYContributionsGrantsAmt
PY Program Service Revenue	$1,514,890	PYProgramServiceRevenueAmt
CY Program Service Revenue	$831,528	CYProgramServiceRevenueAmt
PY Investment Income	$336,536	PYInvestmentIncomeAmt
CY Investment Income	$591,242	CYInvestmentIncomeAmt
PY Other Revenue	-$33,691	PYOtherRevenueAmt
CY Other Revenue	-$24,986	CYOtherRevenueAmt
PY Total Revenue	$4,712,963	PYTotalRevenueAmt
CY Total Revenue	$4,971,197	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$143,435	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$2,131,589	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$2,338,900	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$404,417	CYTotalFundraisingExpenseAmt
PY Other Expenses	$3,529,629	PYOtherExpensesAmt
CY Other Expenses	$3,851,630	CYOtherExpensesAmt
PY Total Expenses	$5,661,218	PYTotalExpensesAmt
CY Total Expenses	$6,333,965	CYTotalExpensesAmt
PY Revenues Less Expenses	-$948,255	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,362,768	CYRevenuesLessExpensesAmt
Total Assets BOY	$11,692,188	TotalAssetsBOYAmt
Total Assets EOY	$9,652,006	TotalAssetsEOYAmt
Total Liabilities BOY	$238,375	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$283,605	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$11,453,813	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$9,368,401	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	See Schedule O	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$769,164	ExpenseAmt
Grant	$143,435	GrantAmt
Revenue	$26,427	RevenueAmt
Desc	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 orthopaedic surgeons on the SIGN Board.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 2018 SIGN Conference held at headquarters in Richland, Washington included 6 BioSkills Labs for pelvic fractures, hip fractures, elbow fractures, ankle fusions, and soft tissue wound coverage. This elevated the surgical training experience for all SIGN Surgeons in attendance. We continue to partner with IGOT which provides additional cadaver training in flaps and pelvic fractures after the SIGN Conference. IGOT also provides regional training in other surgical techniques to SIGN Surgeons in East Africa and Nepal.The annual SIGN Conference is a tremendous experience for the SIGN Surgeons. However, the conference is limited to 150 participants. We have a long-term goal to establish regional trauma courses. In 2018, regional SIGN Conferences were held in Eldoret, Kenya, Dar es Salaam, Tanzania, and Yangon, Myanmar. In addition, we are partnering with Black Lion Hospital, in Addis Ababa, Ethiopia to create the first East African pelvic fellowship.Board member, Richard Gellman, MD, is now traveling to provide regional workshops on deformity correction. In 2018, he held a training session in Cameroon, and in 2019, he plans to hold three more workshops. Each trip includes donation of appropriate implants.In an effort to expand our educational opportunities to those who lack the ability to travel away from their hospital, we have launched a new website, called The Hub. The Hub allows SIGN Surgeons to collaborate with colleagues around the world via forum posts and provides easy access to our most up to date educational resources.We also offer educational opportunities for volunteers planning to travel to hospitals overseas. In 2018, we traveled to North Carolina to participate in a workshop hosted by World Medical Mission, which is a part of Samaritan's Purse. We also participated in a workshop hosted by the Canadian Orthopaedic Trauma Association.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$4,796,458	ExpenseAmt
Revenue	$805,101	RevenueAmt
Desc	Distribute appropriate orthopaedic implants:The SIGN IM Nail and Interlocking 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 2018, we distributed several new products including drill covers and a new plating system that can reach more areas of the bone. SIGN Engineers also made progress on a linear clamp for use with femur and pelvic fractures.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 2018, we distributed 24,145 SIGN Nails to 50 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 12 new SIGN Programs in 2018. The breakdown was as follows: Africa: 8 programs Asia: 3 programs South America: 1 programAs of December 31, 2018, the World Bank income classifications by GNI for the countries with new SIGN Programs were as follows: Low Income 50%, Lower Middle Income 42%, and 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. In 2018, SIGN partnered with US-based NGO, ANERA, to begin the process of getting government approval to send a SIGN IM Nail System to Gaza. We also started a SIGN Program at Jigjiga University Meles Referral Hospital in Ethiopia, which treats a high number of refugees from Somaliland, as well as soldiers who work at the border.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$5,565,622	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	Yes (1)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	Yes (1)	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	Yes (1)	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	Yes (1)	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	11	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	55	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	AL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	AK	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	AR	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CO	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	DC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	GA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	HI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NM	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NV	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OK	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	SC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	TN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	UT	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	VA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CT	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	ME	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	RI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	ND	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WV	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MO	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Sandy Brown	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5093711107	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	451 Hills Street Suite B	AddressLine1Txt
City	Richland	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	99354	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Carla Smith MD PhD
Board Member	3.00	Yes (X)	$0	$0	$0
David Whitney MD
Board Member	3.00	Yes (X)	$0	$0	$0
John Staeheli MD
Board Member	3.00	Yes (X)	$0	$0	$0
Lewis G Zirkle MD
President/Founder	72.00	Yes (X)	$0	$0	$0	Yes (X)
Randall Huebner
Board Member	15.00	Yes (X)	$0	$0	$0
Stephen Schwartz
Board Member	2.00	Yes (X)	$0	$0	$0
Richard Gellman MD
Board Member	2.00	Yes (X)	$0	$0	$0
Thomas Vasileff MD
Board Member	2.00	Yes (X)	$0	$0	$0
Patrick Yoon MD
Board Member	2.00	Yes (X)	$0	$0	$0
David Shearer MD
Board Member	2.00	Yes (X)	$0	$0	$0
Jeanne Dillner
Secretary /Treasurer	75.00		$141,285	$0	$12,567	Yes (X)
Joel Gillard
Senior R&D Engineer	40.00		$115,759	$0	$13,703		Yes (X)
Robert Schmitt
Regulatory Affairs / Quali	40.00		$108,296	$0	$11,908		Yes (X)
Terry Smith
Engineering Manager	40.00		$129,279	$0	$5,459		Yes (X)
Sandra Brown
Business Admin Manager	40.00		$101,778	$0	$19,464		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$596,397	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$63,101	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	5	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Fundraising	$252,653	FundraisingAmt
All Other Contributions	$3,320,760	AllOtherContributionsAmt
Noncash Contributions	$1,416,789	NoncashContributionsAmt
Total Contributions	$3,573,413	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Implant Revenue	339110	$805,101	$805,101
Other Revenue	541900	$16,442	$16,442
Training Conference	611430	$9,985	$9,985

Field	Value	IRS element (for citing)
Total Program Service Revenue	$831,528	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$163,467	TotalRevenueColumnAmt
Exclusion	$163,467	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,782,389	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$2,341,539	SecuritiesAmt
Other	$13,075	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$440,850	SecuritiesAmt
Other	-$13,075	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$427,775	TotalRevenueColumnAmt
Exclusion	$427,775	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$55,805	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$252,653	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$80,791	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$24,986	TotalRevenueColumnAmt
Exclusion	-$24,986	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,971,197	TotalRevenueColumnAmt
Related Or Exempt Func Income	$831,528	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$566,256	ExclusionAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$143,435	TotalAmt
Program Services	$143,435	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$143,000	TotalAmt
Program Services	$112,750	ProgramServicesAmt
Fundraising	$30,250	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$2,195,900	TotalAmt
Program Services	$1,650,787	ProgramServicesAmt
Management And General	$280,615	ManagementAndGeneralAmt
Fundraising	$264,498	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$25,500	TotalAmt
Program Services	$25,500	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$74,277	TotalAmt
Program Services	$33,503	ProgramServicesAmt
Management And General	$17,895	ManagementAndGeneralAmt
Fundraising	$22,879	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$73,083	TotalAmt
Program Services	$55,021	ProgramServicesAmt
Management And General	$8,402	ManagementAndGeneralAmt
Fundraising	$9,660	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$64,793	TotalAmt
Program Services	$59,399	ProgramServicesAmt
Management And General	$916	ManagementAndGeneralAmt
Fundraising	$4,478	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$165,723	TotalAmt
Program Services	$165,723	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$72,431	TotalAmt
Program Services	$65,229	ProgramServicesAmt
Management And General	$2,265	ManagementAndGeneralAmt
Fundraising	$4,937	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$13,021	TotalAmt
Program Services	$9,670	ProgramServicesAmt
Management And General	$1,618	ManagementAndGeneralAmt
Fundraising	$1,733	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Cost of Product Distrib	$1,694,150	$1,694,150
Supplies	$1,412,432	$1,360,095	$7,907	$44,430
Shipping	$99,236	$99,236
Dues, Fees and Taxes	$45,863	$9,067	$27,085	$9,711

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$111,121	TotalAmt
Program Services	$82,057	ProgramServicesAmt
Management And General	$17,223	ManagementAndGeneralAmt
Fundraising	$11,841	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,333,965	TotalAmt
Program Services	$5,565,622	ProgramServicesAmt
Management And General	$363,926	ManagementAndGeneralAmt
Fundraising	$404,417	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$64,967	BOYAmt
EOY	$150,413	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,162,573	BOYAmt
EOY	$3,118,877	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,412,950	BOYAmt
EOY	$855,490	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$505,911	BOYAmt
EOY	$80,496	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$946,598	BOYAmt
EOY	$1,116,328	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$32,426	BOYAmt
EOY	$65,225	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$3,275,351	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,331,031	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,109,467	BOYAmt
EOY	$944,320	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$5,440,301	BOYAmt
EOY	$3,305,392	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$16,995	BOYAmt
EOY	$15,465	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$11,692,188	BOYAmt
EOY	$9,652,006	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$238,375	BOYAmt
EOY	$283,605	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$238,375	BOYAmt
EOY	$283,605	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,534,262	BOYAmt
EOY	$8,111,450	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,919,551	BOYAmt
EOY	$1,256,951	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$11,453,813	BOYAmt
EOY	$9,368,401	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$11,692,188	BOYAmt
EOY	$9,652,006	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$1,362,768	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$722,644	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,620,639	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$10,945,635	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,449,418	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,952,158	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,629,218	CurrentTaxYearAmt
Total	$23,597,068	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,407,710	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,362,502	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,098,905	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,514,890	CurrentTaxYearMinus1YearAmt
Current Tax Year	$831,528	CurrentTaxYearAmt
Total	$6,215,535	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,028,349	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$12,308,137	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,548,323	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,467,048	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,460,746	CurrentTaxYearAmt
Total	$29,812,603	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,095,335	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,185,897	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$707,896	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$811,252	CurrentTaxYearMinus1YearAmt
Current Tax Year	$792,373	CurrentTaxYearAmt
Total	$4,592,753	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$656,126	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$537,418	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$692,199	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,051,967	CurrentTaxYearMinus1YearAmt
Current Tax Year	$370,893	CurrentTaxYearAmt
Total	$3,308,603	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,751,461	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,723,315	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,400,095	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,863,219	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,163,266	CurrentTaxYearAmt
Total	$7,901,356	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$21,911,247	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$140,236	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$179,527	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$200,177	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$165,317	CurrentTaxYearMinus1YearAmt
Current Tax Year	$163,467	CurrentTaxYearAmt
Total	$848,724	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$140,236	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$179,527	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$200,177	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$165,317	CurrentTaxYearMinus1YearAmt
Current Tax Year	$163,467	CurrentTaxYearAmt
Total	$848,724	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,168,585	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$12,487,664	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,748,500	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,632,365	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,624,213	CurrentTaxYearAmt
Total	$30,661,327	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.71460	PublicSupportCY509Pct
Public Support PY509	0.70760	PublicSupportPY509Pct
Investment Income CY	0.02770	InvestmentIncomeCYPct
Investment Income PY	0.02640	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,021,524	OtherCostOrOtherBasisAmt
Depreciation	$448,159	DepreciationAmt
Book Value	$573,365	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,951,141	OtherCostOrOtherBasisAmt
Depreciation	$1,598,174	DepreciationAmt
Book Value	$352,967	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$302,686	OtherCostOrOtherBasisAmt
Depreciation	$284,698	DepreciationAmt
Book Value	$17,988	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$944,320	TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt	$5,106,292	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$722,644	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$790,650	DonatedServicesAndUseFcltsAmt
Other Revenue	$80,791	OtherRevenueAmt
Revenue Not Reported	$148,797	RevenueNotReportedAmt
Revenue Subtotal	$4,957,495	RevenueSubtotalAmt
Other Revenues Not Included	$13,702	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$13,702	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$4,971,197	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$7,191,704	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$790,650	DonatedServicesUseFcltsAmt
Other Expenses Included	$93,866	OtherExpensesIncludedAmt
Expenses Not Reported	$884,516	ExpensesNotReportedAmt
Expenses Subtotal	$6,307,188	ExpensesSubtotalAmt
Other Expenses Not Included	$26,777	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$26,777	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$6,333,965	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part XI, Line 2d - Other Adjustments:	Direct fundraising expenses 80,791.
Part XI, Line 4b - Other Adjustments:	Loss on equipment disposal -13,075. Donated auction items 26,777.
Part XII, Line 2d - Other Adjustments:	Direct fundraising expenses 80,791. Loss on equipment disposal 13,075.
Part XII, Line 4b - Other Adjustments:	Donated auction items 26,777.

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (9 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	Program Services	Orthopaedic Implants	$70,219
East Asia and the Pacific	Program Services	Orthopaedic Implants	$496,943
Europe (Including Iceland & Greenland)	Program Services	Orthopaedic Implants	$46,709
Middle East and North Africa	Program Services	Orthopaedic Implants	$6,130
South America	Program Services	Orthopaedic Implants	$12,891
South Asia	Program Services	Orthopaedic Implants	$267,247
Sub-Saharan Africa	Program Services	Orthopaedic Implants	$729,095
Sub-Saharan Africa	Grants	Training, implants, stipend	$143,135
South Asia	Grants	Training	$300

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$1,772,369	SubtotalSpentAmt
Continuation Spent	$300	ContinuationSpentAmt
Total Spent	$1,772,669	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Sub-Sarharan Africa	RegionTxt
Purpose Of Grant	Trauma center	PurposeOfGrantTxt
Cash Grant	$100,000	CashGrantAmt
Manner Of Cash Disbursement	Cash payment	MannerOfCashDisbursementTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Foreign Individuals Grants ForeignIndividualsGrantsGrp (2 entries)

Type Of AssistanceTypeOfAssistanceTxt	RegionRegionTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt
Travel, training, living stipend	Sub-Saharan Africa	1	$9,728	Cash payment
Implants and instruments, fellowship stipends	Sub-Saharan Africa	1	$24,000	Cash payment

Field	Value	IRS element (for citing)
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	0	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Tri-Cities Benefit	Event1Nm
Gross Receipts Event1	$198,851	GrossReceiptsEvent1Amt
Charitable Contri Event1	$168,511	CharitableContriEvent1Amt
Gross Revenue Event1	$30,340	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$16,350	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$4,230	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$13,990	FoodAndBeverageEvent1Amt
Entertainment Event1	$200	EntertainmentEvent1Amt
Other Direct Expenses Event1	$8,240	OtherDirectExpensesEvent1Amt
Event2	Portland Benefit	Event2Nm
Gross Receipts Event2	$109,607	GrossReceiptsEvent2Amt
Charitable Contri Event2	$84,142	CharitableContriEvent2Amt
Gross Revenue Event2	$25,465	GrossRevenueEvent2Amt
Non Cash Prizes Event2	$10,427	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$7,592	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$15,038	FoodAndBeverageEvent2Amt
Other Direct Expenses Event2	$4,724	OtherDirectExpensesEvent2Amt
Gross Receipts Total	$308,458	GrossReceiptsTotalAmt
Charitable Contributions Tot	$252,653	CharitableContributionsTotAmt
Gross Revenue Total Events	$55,805	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$26,777	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$11,822	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$29,028	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$200	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$12,964	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$80,791	DirectExpenseSummaryEventsAmt
Net Income Summary	-$24,986	NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

Field	Value	IRS element (for citing)
Person	Jeanne Dillner	PersonNm
Title	Secretary /Treasurer	TitleTxt
Base Compensation Filing Org	$141,285	BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs	$0	CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization	$0	BonusFilingOrganizationAmount
Bonus Related Organizations	$0	BonusRelatedOrganizationsAmt
Other Compensation Filing Org	$0	OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs	$0	OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org	$5,060	DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs	$0	DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org	$7,507	NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs	$0	NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org	$153,852	TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs	$0	TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org	$0	CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs	$0	CompReportPrior990RltdOrgsAmt

Schedule L IRS990ScheduleL

Grnt Asst Bnft Interested Prsn GrntAsstBnftInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	Richard Gellman	PersonNm
Relationship With Org	Board Member	RelationshipWithOrgTxt
Cash Grant	$2,200	CashGrantAmt
Type Of Assistance	Cash payment	TypeOfAssistanceTxt
Assistance Purpose	Training	AssistancePurposeTxt

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	4	ContributionCnt
Noncash Contributions Rpt F990	$6,527	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Fair value	MethodOfDeterminingRevenuesTxt

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$607	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Fair value	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$8,501	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Fair value	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	9	ContributionCnt
Noncash Contributions Rpt F990	$55,504	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Fair value	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	8	ContributionCnt
Noncash Contributions Rpt F990	$6,216	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Fair value	MethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	22	ContributionCnt
Noncash Contributions Rpt F990	$1,256,261	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Fair value	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	Travel Expenses for Training	10	$36,398	Fair value
Yes (X)	Office Supplies	41	$11,485	Fair value
Yes (X)	Other	10	$10,118	Fair value

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 1	SIGN's mission is to build orthopaedic capacity in developing countries by providing ongoing training and education to the local orthopaedic surgeons, which is augmented by providing a sustainable supply of orthopaedic implants designed for use in primitive local hospital conditions. The majority of the implants and instruments provided to programs have been designed and manufactured by SIGN personnel. In-kind donations of products not manufactured by SIGN are distributed to some of the busier programs. According to the World Health Organization, 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 developing countries where access to adequate care is limited. SIGN's mission to build the orthopaedic capacity within these countries will support the local surgeons in providing appropriate and timely care to the injured poor. There are approximately 5,000 surgeons in nearly 300 hospitals in 50 developing nations which have benefited from SIGN training and the provision of implants and instruments. SIGN also responds to disasters in locations where SIGN has existing programs or where SIGN programs need to be developed.
Form 990, Part VI, Section B, line 11b	A 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 12c	The 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 15	An 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 19	The 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 2c:	The Organization has not changed their oversight process or selection process of selecting an independent auditor during the tax year.