2017-11-14T16:49:33-06:00 2016-12-31 381357951 PLANTE & MORAN PLLC 10 S Riverside Plaza 9th Floor Chicago IL 60606 990 2016-01-01 363635910 THE THORACIC SURGERY FOUNDATION THOR 3122025815 633 N ST CLAIR 23RD FLOOR CHICAGO IL 60611 DOUGLAS E WOOD MD PRESIDENT 3122025815 2017-11-06 1 Kimberly A Haumann P00546491 3122071040 2017-11-06 67.59.56.31 2017-11-06 13:18:44 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 4F551198EC90A92CA2ED3AE42C89D47A164E6F16 2016 2021-01-29 14:40:06Z DOUGLAS E WOOD MD 633 N ST CLAIR 23RD FLOOR CHICAGO IL 60611 1854307 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. 11 11 0 61 0 0 880422 1517967 0 0 62088 18357 0 0 942510 1536324 480355 689250 0 0 0 0 0 0 0 312687 256741 793042 945991 149468 590333 2254758 3065524 256337 361535 1998421 2703989 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 689250 689250 During the year, TSF awarded a total of 23 awards consisting of 5 Every Heartbeat Matters Awards (support for programs that educate, screen and/or treat underserved populations to reduce the global burden of heart valve disease, or to support other programs that advance health care and address underserved populations), 2 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), 2 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), 1 Acelity Award (support the research efforts by cardiothoracic surgeons who have completed their formal training and who are seeking support and recognition for their research program related to wound care management), 2 Braunwald Awards (supports a woman surgeon and woman resident working in a cardiac surgical clinic or laboratory research program, 1 NIH Award, 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 theirresearch program), 7 Alley-Sheridan Awards (supports educational opportunities for cardiothoracic surgeons to attend the Leadership Program in Health Policy Management offered by Brandeis University), and 1 Surgical Outreach Mission Award. 32126 EXHIBIT BOOTHS, A/V, AND FOOD/BEVERAGE AT INDUSTRY CONFERENCES. 721376 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 2 0 1 0 0 0 0 0 0 0 0 0 0 0 X 11 11 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 23RD FLOOR CHICAGO IL 60611 X John H Calhoon MD PRESIDENT 4.00 0.00 X X 0 0 0 Douglas E Wood MD VICE PRESIDENT 4.00 0.00 X X 0 0 0 Mark S Allen MD TREASURER 4.00 2.00 X X 0 0 0 Keith S Naunheim MD SECRETARY 4.00 3.00 X X 0 6500 0 Shanda H Blackmon MD DIRECTOR 4.00 2.00 X 0 0 0 Andrea J Carpenter MD DIRECTOR 4.00 0.00 X 0 0 0 David A Fullerton MD DIRECTOR 4.00 2.00 X 0 0 0 Robert C Gorman MD DIRECTOR 4.00 0.00 X 0 0 0 Robert SD Higgins MD DIRECTOR 4.00 0.00 X 0 1000 0 Richard N Pierson MD DIRECTOR 4.00 0.00 X 0 0 0 Joseph F Sabik MD DIRECTOR 4.00 12.00 X 0 1000 0 Priscilla S Kennedy EXECUTIVE DIRECTOR 40.00 0.00 X 0 80920 14431 0 89420 14431 0 0 0 0 The Society of Thoracic Surgeons 633 N Saint Clair Street - 23rd Fl Chicago IL 60611 Management Fee 180000 1 593000 924967 1517967 51122 51122 285218 317983 -32765 -32765 -32765 1536324 0 0 18357 167500 167500 521750 521750 180000 180000 28 28 13800 13800 12675 12675 26398 26398 8054 8054 32126 32126 1356 1356 Bad Debt Expense -20000 -20000 2304 2304 945991 721376 224615 0 644356 1098646 373375 343056 5077 6559 1231950 1617263 2254758 3065524 11337 17285 245000 344250 256337 361535 X 678134 954743 1320287 1749246 1998421 2703989 2254758 3065524 590333 115235 0 X 0 1 X 1 0 X 253137 228399 280922 880422 1517967 3160847 253137 228399 280922 880422 1517967 3160847 37000 12650 5000 438098 647809 1140557 0 37000 12650 5000 438098 647809 1140557 2020290 33933 37217 29222 49516 51122 201010 33933 37217 29222 49516 51122 201010 287070 265616 310144 929938 1569089 3361857 0.60090 0.79140 0.05980 0.06500 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 973645 335425 116123 94250 1330943 1136089 42760 -78554 126650 973645 1.00000 0 0 0 X 1638884 115235 115235 1523649 12675 12675 1536324 933316 0 933316 12675 12675 945991 Part X, Line 2: The Foundation is exempt from income tax under the provisions of Internal Revenue Code Section 501(c)(3). Accounting principles generally accepted in the United States of America require management to evaluate tax positions taken by the Foundation and recognize a tax liability if the Foundation has taken an uncertain position that more likely than not would not be sustained upon examination by the IRS or other applicable taxing authorities. Management has analyzed the tax positions taken by the Foundation and has concluded that as of the year ended December 31, 2016, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the financial statements. 1 Brandeis University 415 South Street Walthan WA 02454 042103552 501(C)(3) 17500 Alley Sheridan Scholarships Cardiostart International 6110 Hartford St Tampa FL 33619 593679703 501(C)(3) 31000 Edwards Every Heartbeat Matters University of Colorado PO Box 910238 Denver CO 80291 846049811 501(C)(3) 35000 Edwards Every Heartbeat Matters Team Heart 275 Meadowridge Road Williston VT 05495 271435443 501(C)(3) 35000 Edwards Every Heartbeat Matters Heart to Heart International Children's Medical 655 13th Street Oakland CA 64612 943130437 501(C)(3) 31000 Edwards Every Heartbeat Matters Children's Heartlink 5075 Arcadia Avenue S Minneapolis MN 55436 411307457 501(C)(3) 18000 Edwards Every Heartbeat Matters 6 Carolyn E. Reed Traveling Fellowship 2 16750 Acelity Research Grants 1 25000 STSA Research Grant 1 25000 NIH 1 150000 Research Grant 2 160000 STS Research Grant 1 80000 Braunwald Fellowship 1 60000 HEART TO HEART MISSION GRANT 1 5000 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 TSF grant payment is issued to the institution, with the exception of the Carolyn E. Reed Traveling Fellowship Awards. 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 SINCE THERE ARE NO PAID EMPLOYEES QUESTIONS 13 AND 15 DO NOT APPLY TO THE ORGANIZATION. 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 GOVERNING DOCUMENTS, 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 (STS). FORM 990, PART VII, SECTION A - COMPENSATION Priscilla S. Kennedy, TSF Executive Director, is compensated by a related organization, THE Society of Thoracic Surgeons (STS). 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 1 1 THE SOCIETY OF THORACIC SURGEONS C 593000 CASH PAID THE SOCIETY OF THORACIC SURGEONS M 180000 CASH PAID