SIGN FRACTURE CARE INTERNATIONAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
SIGN FRACTURE CARE INTERNATIONAL (EIN 91-1952283)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-07-19
IRS object ID
201842009349301254
Schema version
2017v2.3
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)
Return2018-07-19T17:43:31-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN562382653PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Northwest CPA Group PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11333 Columbia Park Trail Ste 210AddressLine1Txt
CityRichlandCityNm
State AbbreviationWAStateAbbreviationCd
ZIP99352ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

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
Signature2018-07-18SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAlison C GebersPreparerPersonNm
PTINP00423745PTIN
Phone5097351300PhoneNum
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

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$6,063,367GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.signfracturecare.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionBuild orthopaedic capacity in developing countries by providing orthopaedic training and implants.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee46TotalEmployeeCnt
Total Volunteers68TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,476,362PYContributionsGrantsAmt
CY Contributions Grants$2,895,228CYContributionsGrantsAmt
PY Program Service Revenue$1,098,905PYProgramServiceRevenueAmt
CY Program Service Revenue$1,514,890CYProgramServiceRevenueAmt
PY Investment Income$60,493PYInvestmentIncomeAmt
CY Investment Income$336,536CYInvestmentIncomeAmt
PY Other Revenue-$114,629PYOtherRevenueAmt
CY Other Revenue-$33,691CYOtherRevenueAmt
PY Total Revenue$5,521,131PYTotalRevenueAmt
CY Total Revenue$4,712,963CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,698,203PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,131,589CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$318,840CYTotalFundraisingExpenseAmt
PY Other Expenses$3,090,457PYOtherExpensesAmt
CY Other Expenses$3,529,629CYOtherExpensesAmt
PY Total Expenses$4,788,660PYTotalExpensesAmt
CY Total Expenses$5,661,218CYTotalExpensesAmt
PY Revenues Less Expenses$732,471PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$948,255CYRevenuesLessExpensesAmt
Total Assets BOY$12,275,026TotalAssetsBOYAmt
Total Assets EOY$11,692,188TotalAssetsEOYAmt
Total Liabilities BOY$220,266TotalLiabilitiesBOYAmt
Total Liabilities EOY$238,375TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$12,054,760NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$11,453,813NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSee Schedule OMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$661,913ExpenseAmt
Revenue$25,640RevenueAmt
DescProvide access to orthopaedic training and education to surgeons in developing countries We accomplish this via four primary channels. First, there are onsite visits by local surgeons and North American and European surgeons. Email communications with SIGN Headquarters are an important channel. A third channel is the review of cases submitted onto the SIGN Surgical Database by orthopaedic surgeons on the SIGN Board. The final channel is 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 fractures.Establish Regional Trauma Courses as another means of distributing appropriate orthopaedic technology The SIGN Orthopaedic Conference held at SIGN Headquarters has been a tremendous experience for the SIGN Surgeons. However, the conference is limited to 150 participants. SIGN has a long-term goal to establish regional trauma courses. In 2017, the Annual SIGN Conference held at headquarters in Richland, Washington added several cadaver labs for pelvic fractures, elbow fractures, and ankle fusions. This elevated the surgical training experience for all SIGN Surgeons in attendance. We continue to partner with IGOT who provided cadaver training in flaps and pelvic fractures. They also provided regional training in SIGN and other surgical techniques to SIGN Surgeons in East Africa and Nepal.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$4,343,049ExpenseAmt
Revenue$1,489,250RevenueAmt
DescDistribute appropriate orthopaedic technology The design of the SIGN IM Nail and Interlocking System is for use in hospitals in developing countries where C-arms and regular power are not available. SIGN Engineers continually develop new orthopaedic instruments and implants in response to the needs described by the local surgeons. In 2017, SIGN engineers made progress on several new products including drill covers, a new plating system that can reach more areas of the bone, and a linear clamp for use with femur and pelvic fractures.We supply new Programs with the standard SIGN IM Nail System, which surgeons use to repair severe fractures in the femur, tibia, and humerus. Once the 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 2017, we distributed 31,700 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 twenty-seven new Programs in 2017. The breakdown was Africa with 14 new Programs, Asia with 9, North America (Haiti, Dominican Republic, and Honduras) with four. As of December 31, 2017, the World Bank income classifications by GNI for SIGN Programs were as follows: Low Income 43%, Lower Middle Income 38%, Upper Middle Income 19%, and Upper Income 0%.Distribution of SIGN Implants can take the form of disaster or conflict response SIGN Volunteers from North America and Europe respond to disasters in countries where SIGN Programs currently exist or where SIGN Programs would be beneficial. In 2017, we supplied instruments and implants to surgeons in Bangladesh who were providing surgical care to the Bengali (Rohingya) refugees located in Cox's Bazaar. We also started a new SIGN Program at Sittwe General Hospital in Myanmar where the Bengali continue to reside.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$5,004,962TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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
Employee46EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldALStatesWhereCopyOfReturnIsFldCd
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Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Sandy BrownBusinessNameLine1Txt
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 (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Carla Smith MD PhD
Board Member5.00Yes (X)$0$0$0
David Whitney MD
Board Member3.00Yes (X)$0$0$0
John Staeheli MD
Board Member3.00Yes (X)$0$0$0
Lewis G Zirkle MD
President/Founder72.00Yes (X)$0$0$0Yes (X)
Randall Huebner
Board Member15.00Yes (X)$0$0$0
Stephen Schwartz
Board Member2.00Yes (X)$0$0$0
Teresa Ford
Board Member2.00Yes (X)$0$0$0
Richard Gellman MD
Board Member2.00Yes (X)$0$0$0
Thomas Vasileff MD
Board Member1.00Yes (X)$0$0$0
Patrick Yoon MD
Board Member2.00Yes (X)$0$0$0
Jeanne Dillner
Secretary /Treasurer75.00$142,412$0$8,118Yes (X)
Joel Gillard
Senior R&D Engineer40.00$102,431$0$23,620Yes (X)
Robert Schmitt
Regulatory Affairs / Quality Control Manager40.00$105,502$0$11,223Yes (X)
Terry Smith
Engineering Manager37.00$116,314$0$2,821Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$466,659TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$45,782TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$302,217FundraisingAmt
All Other Contributions$2,593,011AllOtherContributionsAmt
Noncash Contributions$799,538NoncashContributionsAmt
Total Contributions$2,895,228TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Implant Revenue339110$1,489,250$1,489,250
Training Conference611430$12,856$12,856
Other Revenue541900$12,784$12,784
FieldValueIRS element (for citing)
Total Program Service Revenue$1,514,890TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$165,317TotalRevenueColumnAmt
Exclusion$165,317ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,431,002SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,257,425SecuritiesAmt
Other$2,358OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$173,577SecuritiesAmt
Other-$2,358OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$171,219TotalRevenueColumnAmt
Exclusion$171,219ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$56,930FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$302,217ContriRptFundraisingEventAmt
Fundraising Direct Expenses$90,621FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$33,691TotalRevenueColumnAmt
Exclusion-$33,691ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,712,963TotalRevenueColumnAmt
Related Or Exempt Func Income$1,514,890RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$302,845ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$143,000TotalAmt
Program Services$111,650ProgramServicesAmt
Fundraising$31,350FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$1,988,589TotalAmt
Program Services$1,537,721ProgramServicesAmt
Management And General$258,073ManagementAndGeneralAmt
Fundraising$192,795FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$25,091TotalAmt
Program Services$25,091ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$79,227TotalAmt
Program Services$38,228ProgramServicesAmt
Management And General$15,808ManagementAndGeneralAmt
Fundraising$25,191FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$61,268TotalAmt
Program Services$55,630ProgramServicesAmt
Management And General$2,922ManagementAndGeneralAmt
Fundraising$2,716FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$39,752TotalAmt
Program Services$34,983ProgramServicesAmt
Management And General$2,196ManagementAndGeneralAmt
Fundraising$2,573FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$144,102TotalAmt
Program Services$144,102ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$84,130TotalAmt
Program Services$75,478ProgramServicesAmt
Management And General$906ManagementAndGeneralAmt
Fundraising$7,746FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$11,914TotalAmt
Program Services$10,724ProgramServicesAmt
Management And General$617ManagementAndGeneralAmt
Fundraising$573FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Cost of Product Distrib$2,053,729$2,053,729
Supplies$791,060$742,567$7,954$40,539
Shipping$89,913$89,913
Miscellaneous$50,932$29,386$19,427$2,119

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$98,511TotalAmt
Program Services$55,760ProgramServicesAmt
Management And General$29,513ManagementAndGeneralAmt
Fundraising$13,238FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,661,218TotalAmt
Program Services$5,004,962ProgramServicesAmt
Management And General$337,416ManagementAndGeneralAmt
Fundraising$318,840FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$106,192BOYAmt
EOY$64,967EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,140,776BOYAmt
EOY$2,162,573EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,900,981BOYAmt
EOY$1,412,950EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$144,089BOYAmt
EOY$505,911EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,356,905BOYAmt
EOY$946,598EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$47,120BOYAmt
EOY$32,426EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,257,646LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,148,179LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,244,468BOYAmt
EOY$1,109,467EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,319,901BOYAmt
EOY$5,440,301EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$14,594BOYAmt
EOY$16,995EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$12,275,026BOYAmt
EOY$11,692,188EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$220,266BOYAmt
EOY$238,375EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$220,266BOYAmt
EOY$238,375EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,684,350BOYAmt
EOY$9,534,262EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,370,410BOYAmt
EOY$1,919,551EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,054,760BOYAmt
EOY$11,453,813EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,275,026BOYAmt
EOY$11,692,188EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$948,255ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$347,308NetUnrlzdGainsLossesInvstAmt
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)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
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$4,040,588CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,620,639CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,945,635CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,449,418CurrentTaxYearMinus1YearAmt
Current Tax Year$2,952,158CurrentTaxYearAmt
Total$24,008,438TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,433,865CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,407,710CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,362,502CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,098,905CurrentTaxYearMinus1YearAmt
Current Tax Year$1,514,890CurrentTaxYearAmt
Total$6,817,872TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,474,453CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,028,349CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,308,137CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,548,323CurrentTaxYearMinus1YearAmt
Current Tax Year$4,467,048CurrentTaxYearAmt
Total$30,826,310TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$777,208CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,095,335CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,185,897CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$707,896CurrentTaxYearMinus1YearAmt
Current Tax Year$811,252CurrentTaxYearAmt
Total$4,577,588TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$907,152CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$656,126CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$537,418CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$692,199CurrentTaxYearMinus1YearAmt
Current Tax Year$1,051,967CurrentTaxYearAmt
Total$3,844,862TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,684,360CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,751,461CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,723,315CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,400,095CurrentTaxYearMinus1YearAmt
Current Tax Year$1,863,219CurrentTaxYearAmt
Total$8,422,450TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$22,403,860PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$151,337CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$140,236CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$179,527CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$200,177CurrentTaxYearMinus1YearAmt
Current Tax Year$165,317CurrentTaxYearAmt
Total$836,594TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$151,337CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$140,236CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$179,527CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$200,177CurrentTaxYearMinus1YearAmt
Current Tax Year$165,317CurrentTaxYearAmt
Total$836,594TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,625,790CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,168,585CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,487,664CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,748,500CurrentTaxYearMinus1YearAmt
Current Tax Year$4,632,365CurrentTaxYearAmt
Total$31,662,904TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.70760PublicSupportCY509Pct
Public Support PY5090.70290PublicSupportPY509Pct
Investment Income CY0.02640InvestmentIncomeCYPct
Investment Income PY0.02730InvestmentIncomePYPct
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

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,021,524OtherCostOrOtherBasisAmt
Depreciation$403,791DepreciationAmt
Book Value$617,733BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,923,697OtherCostOrOtherBasisAmt
Depreciation$1,511,852DepreciationAmt
Book Value$411,845BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$312,425OtherCostOrOtherBasisAmt
Depreciation$232,536DepreciationAmt
Book Value$79,889BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,109,467TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$5,855,276TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$347,308NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$730,275DonatedServicesAndUseFcltsAmt
Other Revenue$90,621OtherRevenueAmt
Revenue Not Reported$1,168,204RevenueNotReportedAmt
Revenue Subtotal$4,687,072RevenueSubtotalAmt
Other Revenues Not Included$25,891OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$25,891RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$4,712,963TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$6,456,223TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$730,275DonatedServicesUseFcltsAmt
Other Expenses Included$92,979OtherExpensesIncludedAmt
Expenses Not Reported$823,254ExpensesNotReportedAmt
Expenses Subtotal$5,632,969ExpensesSubtotalAmt
Other Expenses Not Included$28,249OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$28,249ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$5,661,218TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part XI, Line 2d - Other Adjustments:Direct fundraising expenses 90,621.
Part XI, Line 4b - Other Adjustments:Loss on equipment disposal -2,358. Donated auction items 28,249.
Part XII, Line 2d - Other Adjustments:Direct fundraising expenses 90,621. Loss on equipment disposal 2,358.
Part XII, Line 4b - Other Adjustments:Donated auction items 28,249.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (8 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean00Program ServicesOrthopaedic Implants$93,294
East Asia and the Pacific00Program ServicesOrthopaedic Implants$1,027,908
Europe (Including Iceland & Greenland)00Program ServicesOrthopaedic Implants$25,127
Middle East and North Africa00Program ServicesOrthopaedic Implants$31,030
Russia & the Newly Independent States00Program ServicesOrthopaedic Implants$2,686
South America00Program ServicesOrthopaedic Implants$1,008
South Asia00Program ServicesOrthopaedic Implants$337,819
Sub-Saharan Africa00Program ServicesOrthopaedic Implants$836,816
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$2,355,688SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$2,355,688TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Tri-Cities BenefitEvent1Nm
Gross Receipts Event1$187,121GrossReceiptsEvent1Amt
Charitable Contri Event1$147,676CharitableContriEvent1Amt
Gross Revenue Event1$39,445GrossRevenueEvent1Amt
Non Cash Prizes Event1$23,978NonCashPrizesEvent1Amt
Rent Facility Costs Event1$6,524RentFacilityCostsEvent1Amt
Food And Beverage Event1$15,467FoodAndBeverageEvent1Amt
Entertainment Event1$250EntertainmentEvent1Amt
Other Direct Expenses Event1$12,629OtherDirectExpensesEvent1Amt
Event2Portland BenefitEvent2Nm
Gross Receipts Event2$172,026GrossReceiptsEvent2Amt
Charitable Contri Event2$154,541CharitableContriEvent2Amt
Gross Revenue Event2$17,485GrossRevenueEvent2Amt
Non Cash Prizes Event2$4,271NonCashPrizesEvent2Amt
Rent Facility Costs Event2$10,160RentFacilityCostsEvent2Amt
Food And Beverage Event2$13,214FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$4,128OtherDirectExpensesEvent2Amt
Gross Receipts Total$359,147GrossReceiptsTotalAmt
Charitable Contributions Tot$302,217CharitableContributionsTotAmt
Gross Revenue Total Events$56,930GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$28,249NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$16,684RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$28,681FoodAndBeverageTotalEventsAmt
Entertainment Total Events$250EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$16,757OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$90,621DirectExpenseSummaryEventsAmt
Net Income Summary-$33,691NetIncomeSummaryAmt

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

FieldValueIRS element (for citing)
PersonJeanne DillnerPersonNm
TitleSecretary /TreasurerTitleTxt
Base Compensation Filing Org$142,412BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$5,720DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$2,398NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$150,530TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$4,550NoncashContributionsRptF990Amt
Method Of Determining RevenuesFair valueMethodOfDeterminingRevenuesTxt

Books And Publications BooksAndPublicationsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Method Of Determining RevenuesFair valueMethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$11,469NoncashContributionsRptF990Amt
Method Of Determining RevenuesFair valueMethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution10ContributionCnt
Noncash Contributions Rpt F990$55,519NoncashContributionsRptF990Amt
Method Of Determining RevenuesFair valueMethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution14ContributionCnt
Noncash Contributions Rpt F990$5,135NoncashContributionsRptF990Amt
Method Of Determining RevenuesFair valueMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution16ContributionCnt
Noncash Contributions Rpt F990$673,025NoncashContributionsRptF990Amt
Method Of Determining RevenuesFair valueMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)Travel Expenses for Training8$20,001Fair value
Yes (X)Office Supplies3$15,386Fair value
Yes (X)Other5$13,937Fair 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 1SIGN'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 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 2c:The Organization has not changed their oversight process or selection process of selecting an independent auditor during the tax year.

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