﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2012v2.1">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2013-06-03T14:15:22-05:00</Timestamp>
    <TaxPeriodEndDate>2012-12-31</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>KUTCHINS ROBBINS &amp; DIAMOND LTD</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>1101 PERIMETER DR STE 760</AddressLine1>
        <City>SCHAUMBURG</City>
        <State>IL</State>
        <ZIPCode>60173</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2012-01-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>300550076</EIN>
      <Name>
        <BusinessNameLine1>CENTER FOR ORTHOPAEDIC TRAUMA</BusinessNameLine1>
        <BusinessNameLine2>ADVANCEMENT</BusinessNameLine2>
      </Name>
      <NameControl>CENT</NameControl>
      <Phone>8473844233</Phone>
      <USAddress>
        <AddressLine1>6300 N RIVER ROAD SUITE 727</AddressLine1>
        <City>ROSEMONT</City>
        <State>IL</State>
        <ZIPCode>60018</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>ALAN JONES MD</Name>
      <Title>TREASURER</Title>
      <Phone>8473844233</Phone>
      <DateSigned>2013-06-30</DateSigned>
      <AuthorizeThirdParty>true</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>DAVID WASIELEWSKI</Name>
      <Phone>8472401040</Phone>
      <DatePrepared>2013-05-22</DatePrepared>
    </Preparer>
    <TaxYear>2012</TaxYear>
    <BuildTS>2016-03-07 17:11:31Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="6">
    <IRS990 documentId="RetDoc4" referenceDocumentId="RetDoc6">
      <NameOfPrincipalOfficerPerson>BRENDAN PATTERSON MD</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>6300 N RIVER ROAD SUITE 727</AddressLine1>
        <City>ROSEMONT</City>
        <State>IL</State>
        <ZIPCode>60018</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>1390728</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>WWW.COTAGRANTS.ORG</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>2009</YearFormation>
      <StateLegalDomicile>IL</StateLegalDomicile>
      <ActivityOrMissionDescription>THE CENTER FOR ORTHOPAEDIC TRAUMA ADVANCEMENT (THE "ASSOCIATION") IS A NATIONAL NONPROFIT CORPORATION ORGANIZED TO SUPPORT THE ORTHOPAEDIC TRAUMA ASSOCIATION, ADVANCE EDUCATION AND METHODS OF TEACHING AND TRAINING IN ORTHOPAEDIC TRAUMA, IMPROVE UNDERSTANDING AS TO THE TREATMENT OF MUSCULOSKELETAL INJURY, REPAIR AND TREATMENT, PROMOTE RESEARCH CONCERNING ORTHOPAEDIC TRAUMA AND ADVANCE THE INTERESTS OF THE PUBLIC AND PATIENTS COMMUNITY BY SUPPORTING AND PROMOTING THE EDUCATION AND STUDY OF ORTHOPAEDIC TRAUMA. ACTIVITIES ARE FUNDED BY GRANTS FROM SPONSORS.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>7</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>6</NbrIndependentVotingMembers>
      <TotalNbrEmployees>0</TotalNbrEmployees>
      <TotalNbrVolunteers>6</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <ContributionsGrantsPriorYear>1375000</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>1388299</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenueCY>0</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>3731</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>2429</InvestmentIncomeCurrentYear>
      <OtherRevenueCurrentYear>0</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>1378731</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>1390728</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>1341247</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>1282845</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcCurrentYear>0</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>24234</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>21663</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>1365481</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>1304508</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>13250</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>86220</RevenuesLessExpensesCY>
      <TotalAssetsBOY>1070175</TotalAssetsBOY>
      <TotalAssetsEOY>1119433</TotalAssetsEOY>
      <TotalLiabilitiesBOY>49877</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>12915</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>1020298</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>1106518</NetAssetsOrFundBalancesEOY>
      <InfoInScheduleOPartIII>X</InfoInScheduleOPartIII>
      <MissionDescription>THE CENTER FOR ORTHOPAEDIC TRAUMA ADVANCEMENT (THE "ASSOCIATION") IS A NATIONAL NONPROFIT CORPORATION ORGANIZED TO SUPPORT THE ORTHOPAEDIC TRAUMA ASSOCIATION, ADVANCE EDUCATION AND METHODS OF TEACHING AND TRAINING IN ORTHOPAEDIC TRAUMA, IMPROVE UNDERSTANDING AS TO THE TREATMENT OF MUSCULOSKELETAL INJURY, REPAIR AND TREATMENT, PROMOTE RESEARCH CONCERNING ORTHOPAEDIC TRAUMA AND ADVANCE THE INTERESTS OF THE PUBLIC AND PATIENTS COMMUNITY BY SUPPORTING AND PROMOTING THE EDUCATION AND STUDY OF ORTHOPAEDIC TRAUMA. ACTIVITIES ARE FUNDED BY GRANTS FROM SPONSORS.</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Expense>1282845</Expense>
      <Grants>1282845</Grants>
      <Description>VARIOUS RESEARCH AND EDUCATION GRANTS TO ORTHOPAEDIC PROFESSIONALS.</Description>
      <TotalProgramServiceExpense>1282845</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="RetDoc2">true</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="RetDoc1">true</ScheduleBRequired>
      <PoliticalActivities>false</PoliticalActivities>
      <LobbyingActivities>false</LobbyingActivities>
      <SubjectToProxyTax>false</SubjectToProxyTax>
      <DonorAdvisedFunds referenceDocumentId="RetDoc3">false</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="RetDoc3">false</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="RetDoc3">false</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="RetDoc3">false</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="RetDoc3">false</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="RetDoc3">false</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="RetDoc3">false</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="RetDoc3">false</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="RetDoc3">false</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="RetDoc3">false</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="RetDoc3">true</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="RetDoc3">true</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="RetDoc3">false</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities>false</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>false</ProfessionalFundraising>
      <FundraisingActivities>false</FundraisingActivities>
      <Gaming>false</Gaming>
      <Hospital>false</Hospital>
      <GrantsToOrganizations referenceDocumentId="RetDoc5">true</GrantsToOrganizations>
      <GrantsToIndividuals referenceDocumentId="RetDoc5">false</GrantsToIndividuals>
      <ScheduleJRequired>false</ScheduleJRequired>
      <TaxExemptBonds>false</TaxExemptBonds>
      <ExcessBenefitTransaction>false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>false</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>false</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>false</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>false</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity>false</DisregardedEntity>
      <RelatedEntity>false</RelatedEntity>
      <RelatedOrgControlledEntity>false</RelatedOrgControlledEntity>
      <TransfersToExemptNonChrtblOrg>false</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership>false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>2</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <NumberOfEmployees>0</NumberOfEmployees>
      <UnrelatedBusinessIncome>false</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <IndoorTanningServices>false</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>7</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>6</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>false</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>true</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>false</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>false</MembersOrStockholders>
      <ElectionOfBoardMembers>false</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>false</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>true</MinutesOfCommittees>
      <OfficerMailingAddress>false</OfficerMailingAddress>
      <LocalChapters>false</LocalChapters>
      <Form990ProvidedToGoverningBody>true</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>true</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>true</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>true</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>true</WhistleblowerPolicy>
      <DocumentRetentionPolicy>true</DocumentRetentionPolicy>
      <CompensationProcessCEO>false</CompensationProcessCEO>
      <CompensationProcessOther>false</CompensationProcessOther>
      <InvestmentInJointVenture>false</InvestmentInJointVenture>
      <StatesWhereCopyOfReturnIsFiled>IL</StatesWhereCopyOfReturnIsFiled>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>ANNA GREENE</NamePerson>
        <TelephoneNumber>8473844233</TelephoneNumber>
        <AddressUS>
          <AddressLine1>6300 N RIVER ROAD SUITE 727</AddressLine1>
          <City>ROSEMONT</City>
          <State>IL</State>
          <ZIPCode>60018</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <NoListedPersonsCompensated>X</NoListedPersonsCompensated>
      <Form990PartVIISectionA>
        <NamePerson>MICHAEL CHAPMAN MD</NamePerson>
        <Title>CHAIR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BRENDAN PATTERSON MD</NamePerson>
        <Title>PRESIDENT</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARK RICHARDSON MD</NamePerson>
        <Title>VICE-CHAIR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ALAN JONES MD</NamePerson>
        <Title>TREASURER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MAUREEN FINNEGAN MD</NamePerson>
        <Title>SECRETARY</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DAVID TEAGUE MD</NamePerson>
        <Title>MEMBER AT LA</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>NANCY FRANZON</NamePerson>
        <Title>EXECUTIVE DI</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>false</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <AllOtherContributions>1388299</AllOtherContributions>
      <TotalContributions>1388299</TotalContributions>
      <InvestmentIncome>
        <TotalRevenueColumn>2429</TotalRevenueColumn>
        <ExclusionAmount>2429</ExclusionAmount>
      </InvestmentIncome>
      <TotalRevenue>
        <TotalRevenueColumn>1390728</TotalRevenueColumn>
        <ExclusionAmount>2429</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>1282845</Total>
        <ProgramServices>1282845</ProgramServices>
      </GrantsToDomesticOrgs>
      <FeesForServicesManagement>
        <Total>12595</Total>
        <ManagementAndGeneral>12595</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>651</Total>
        <ManagementAndGeneral>651</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>4625</Total>
        <ManagementAndGeneral>4625</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <OfficeExpenses>
        <Total>424</Total>
        <ManagementAndGeneral>424</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>93</Total>
        <ManagementAndGeneral>93</ManagementAndGeneral>
      </InformationTechnology>
      <Travel>
        <Total>771</Total>
        <ManagementAndGeneral>771</ManagementAndGeneral>
      </Travel>
      <Insurance>
        <Total>730</Total>
        <ManagementAndGeneral>730</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>BOARD OF DIRECTORS</Description>
        <Total>1685</Total>
        <ManagementAndGeneral>1685</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MISCELLANEOUS EXPENSES</Description>
        <Total>89</Total>
        <ManagementAndGeneral>89</ManagementAndGeneral>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>1304508</Total>
        <ProgramServices>1282845</ProgramServices>
        <ManagementAndGeneral>21663</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>1070000</BOY>
        <EOY>1119251</EOY>
      </CashNonInterestBearing>
      <PrepaidExpensesDeferredCharges>
        <BOY>175</BOY>
        <EOY>182</EOY>
      </PrepaidExpensesDeferredCharges>
      <TotalAssets>
        <BOY>1070175</BOY>
        <EOY>1119433</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>49877</BOY>
        <EOY>12915</EOY>
      </AccountsPayableAccruedExpenses>
      <TotalLiabilities>
        <BOY>49877</BOY>
        <EOY>12915</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>137651</BOY>
        <EOY>162167</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>882647</BOY>
        <EOY>944351</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>1020298</BOY>
        <EOY>1106518</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>1070175</BOY>
        <EOY>1119433</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>86220</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementSeparate>X</FinancialStatementSeparate>
      </FSAuditedBasis>
      <AuditCommittee>true</AuditCommittee>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc2">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus3Years>1196024</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>875000</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1375000</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1388299</CurrentTaxYear>
        <Total>4834323</Total>
      </GiftsGrantsContribReceived170>
      <Total170>
        <CurrentTaxYearMinus3Years>1196024</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>875000</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1375000</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1388299</CurrentTaxYear>
        <Total>4834323</Total>
      </Total170>
      <AmountsSubstContributorsTotal>4606180</AmountsSubstContributorsTotal>
      <PublicSupportTotal170>228143</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus3Years>546</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>4479</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>3731</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2429</CurrentTaxYear>
        <Total>11185</Total>
      </GrossInvestmentIncome170>
      <TotalSupport>4845508</TotalSupport>
      <First5Years170>X</First5Years170>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc3">
      <TotRevenueEtcAuditedFinclStmt>1390728</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>1390728</RevenueSubtotal>
      <TotalRevenuePerForm990>1390728</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>1304508</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>1304508</ExpensesSubtotal>
      <TotalExpensesPerForm990>1304508</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>LIABILITY UNDER FIN 48 FOOTNOTE</Identifier>
        <ReturnReference>SCHEDULE D, PAGE 3, PART X</ReturnReference>
        <Explanation>TAX STATUS: THE ASSOCIATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE ASSOCIATION'S TAX EXEMPT PURPOSE IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. THE ASSOCIATION FILES INFORMATION RETURNS IN THE U.S. FEDERAL JURISDICTION AND ILLINOIS JURISDICTION. THE ASSOCIATION IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2009.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc5">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ALLEGHENY GENERAL HOSPITAL</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1307 FEDERAL STREET 2ND FLOOR</AddressLine1>
          <City>PITTSBURGH</City>
          <State>PA</State>
          <ZIPCode>15212</ZIPCode>
        </AddressUS>
        <EINOfRecipient>251838458</EINOfRecipient>
        <IRCSection>3</IRCSection>
        <AmountOfCashGrant>75000</AmountOfCashGrant>
        <PurposeOfGrant>FELLOWSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>FOUNDATION FOR ORTHO RESEARCH &amp; EDU</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>13020 N TELECOM PARKWAY</AddressLine1>
          <City>TAMPA</City>
          <State>FL</State>
          <ZIPCode>33637</ZIPCode>
        </AddressUS>
        <EINOfRecipient>593555349</EINOfRecipient>
        <IRCSection>3</IRCSection>
        <AmountOfCashGrant>75000</AmountOfCashGrant>
        <PurposeOfGrant>FELLOWSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>HOSPITAL FOR SPECIAL SURGERY</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>535 EAST 70TH ST</AddressLine1>
          <City>NEW YORK</City>
          <State>NY</State>
          <ZIPCode>10021</ZIPCode>
        </AddressUS>
        <EINOfRecipient>131624135</EINOfRecipient>
        <IRCSection>3</IRCSection>
        <AmountOfCashGrant>75000</AmountOfCashGrant>
        <PurposeOfGrant>FELLOWSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>RENO ORTHO EDUC &amp; RESEARCH FNDTN</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>555 N ARLINGTON AVE</AddressLine1>
          <City>RENO</City>
          <State>NV</State>
          <ZIPCode>89503</ZIPCode>
        </AddressUS>
        <EINOfRecipient>880278047</EINOfRecipient>
        <IRCSection>3</IRCSection>
        <AmountOfCashGrant>50000</AmountOfCashGrant>
        <PurposeOfGrant>FELLOWSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>UNIV OF ALABAMA AT BIRMINGHAM</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>510 20TH ST SOUTH FOT 960</AddressLine1>
          <City>BIRMINGHAM</City>
          <State>AL</State>
          <ZIPCode>35294</ZIPCode>
        </AddressUS>
        <EINOfRecipient>630649108</EINOfRecipient>
        <IRCSection>3</IRCSection>
        <AmountOfCashGrant>50000</AmountOfCashGrant>
        <PurposeOfGrant>FELLOWSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>WAKE FOREST UNIV HEALTH SCIENCE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>MEDICAL CENTER BLVD</AddressLine1>
          <City>WINSTONSALEM</City>
          <State>NC</State>
          <ZIPCode>27157</ZIPCode>
        </AddressUS>
        <EINOfRecipient>223849199</EINOfRecipient>
        <IRCSection>3</IRCSection>
        <AmountOfCashGrant>75000</AmountOfCashGrant>
        <PurposeOfGrant>FELLOWSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CAROLINAS HEALTHCARE FOUNDATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1221 E MOREHEAD ST</AddressLine1>
          <City>CHARLOTTE</City>
          <State>NC</State>
          <ZIPCode>28204</ZIPCode>
        </AddressUS>
        <EINOfRecipient>561398929</EINOfRecipient>
        <IRCSection>3</IRCSection>
        <AmountOfCashGrant>75000</AmountOfCashGrant>
        <PurposeOfGrant>FELLOWSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>REGENTS UNIVERSITY OF MINNESOTA</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 1450</AddressLine1>
          <City>MINNEAPOLIS</City>
          <State>MN</State>
          <ZIPCode>55485</ZIPCode>
        </AddressUS>
        <EINOfRecipient>416007513</EINOfRecipient>
        <IRCSection>3</IRCSection>
        <AmountOfCashGrant>75000</AmountOfCashGrant>
        <PurposeOfGrant>FELLOWSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>SFGH FOUNDATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2789 25TH STREET SUITE 2028</AddressLine1>
          <City>SAN FRANCISCO</City>
          <State>CA</State>
          <ZIPCode>94110</ZIPCode>
        </AddressUS>
        <EINOfRecipient>943189424</EINOfRecipient>
        <IRCSection>3</IRCSection>
        <AmountOfCashGrant>75000</AmountOfCashGrant>
        <PurposeOfGrant>FELLOWSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ST LOUIS UNIVERSITY ORTHO TRAUMA</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>3635 VISTA AVE</AddressLine1>
          <City>ST LOUIS</City>
          <State>MO</State>
          <ZIPCode>63110</ZIPCode>
        </AddressUS>
        <EINOfRecipient>430654872</EINOfRecipient>
        <IRCSection>3</IRCSection>
        <AmountOfCashGrant>75000</AmountOfCashGrant>
        <PurposeOfGrant>FELLOWSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>UNIVERSITY OF WASHINGTON</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>HARBORVIEW MEDICAL CENTER</AddressLine1>
          <City>SEATTLE</City>
          <State>WA</State>
          <ZIPCode>98104</ZIPCode>
        </AddressUS>
        <EINOfRecipient>916001537</EINOfRecipient>
        <IRCSection>3</IRCSection>
        <AmountOfCashGrant>75000</AmountOfCashGrant>
        <PurposeOfGrant>FELLOWSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>VANDERBILT MEDICAL CENTER</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>DEPT AT 40303</AddressLine1>
          <City>ATLANTA</City>
          <State>GA</State>
          <ZIPCode>31192</ZIPCode>
        </AddressUS>
        <EINOfRecipient>620476822</EINOfRecipient>
        <IRCSection>3</IRCSection>
        <AmountOfCashGrant>75000</AmountOfCashGrant>
        <PurposeOfGrant>FELLOWSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>BRIGHAM &amp; WOMEN'S HOSPITAL</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>75 FRANCIS ST</AddressLine1>
          <City>BOSTON</City>
          <State>MA</State>
          <ZIPCode>02114</ZIPCode>
        </AddressUS>
        <EINOfRecipient>042312909</EINOfRecipient>
        <IRCSection>3</IRCSection>
        <AmountOfCashGrant>75000</AmountOfCashGrant>
        <PurposeOfGrant>FELLOWSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>MIAMI UNIVERSITY</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>DEPARTMENT OF ORTHOPAEDICS</AddressLine1>
          <City>MIAMI</City>
          <State>FL</State>
          <ZIPCode>33136</ZIPCode>
        </AddressUS>
        <EINOfRecipient>592579831</EINOfRecipient>
        <IRCSection>3</IRCSection>
        <AmountOfCashGrant>50000</AmountOfCashGrant>
        <PurposeOfGrant>FELLOWSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>U OF TEXAS HSC AT HOUSTON</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>7000 FANNIN SUITE 1006</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
        </AddressUS>
        <EINOfRecipient>741761309</EINOfRecipient>
        <IRCSection>3</IRCSection>
        <AmountOfCashGrant>75000</AmountOfCashGrant>
        <PurposeOfGrant>FELLOWSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>FOUNDATION OF UMDNJ</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>120 ALBANY ST TOWER TWO STE 850</AddressLine1>
          <City>NEW BRUNSWICK</City>
          <State>NJ</State>
          <ZIPCode>08901</ZIPCode>
        </AddressUS>
        <EINOfRecipient>237313160</EINOfRecipient>
        <IRCSection>3</IRCSection>
        <AmountOfCashGrant>50000</AmountOfCashGrant>
        <PurposeOfGrant>FELLOWSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>UMMS FOUNDATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>110 S PACA ST 9TH FLOOR</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21201</ZIPCode>
        </AddressUS>
        <EINOfRecipient>311678679</EINOfRecipient>
        <IRCSection>3</IRCSection>
        <AmountOfCashGrant>75000</AmountOfCashGrant>
        <PurposeOfGrant>FELLOWSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>OTA - FUNDED BY COTA</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>6300 N RIVER ROAD SUITE 727</AddressLine1>
          <City>ROSEMONT</City>
          <State>IL</State>
          <ZIPCode>60018</ZIPCode>
        </AddressUS>
        <EINOfRecipient>680074461</EINOfRecipient>
        <IRCSection>3</IRCSection>
        <AmountOfCashGrant>100000</AmountOfCashGrant>
        <PurposeOfGrant>RESEARCH</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>18</TotalNbrOf501C3AndGovtGrants>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES</Identifier>
        <ReturnReference>SCHEDULE I, PAGE 1, PART I, LINE 2</ReturnReference>
        <Explanation>THE COTA BOARD HAS ESTABLISHED A COMMITTEE TO REVIEW APPLICATIONS AND DISTRIBUTE GRANTS. GRANTS WILL BE AWARDED ANNUALLY BASED UPON THE PROGRAM APPLICATION IN THE FIRST YEAR AND THE PROGRAM APPLICATION AS WELL AS THE REPORT OF THE GRADUATING FELLOW IN SUBSEQUENT YEARS. GRANTS ARE AWARDED BASED UPON RANK ORDER AND SEVERAL CRITERIA INCLUDING NUMBER OF FELLOWS, NUMBER OF ORTHOPAEDIC TRAUMA FACULTY, PROGRAM HISTORY, PRESENCE AND SIZE OF THE ORTHOPAEDIC RESIDENCY, VOLUMES OF TRAUMA ADMISSIONS, AND COMPLEX FRACTURE CASES, UNIVERSITY AFFILIATION, THE DEMONSTRATED EXERCISE OF EDUCATION VIA ORGANIZED CONFERENCES AND THE OVERALL CURRICULUM.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc6">
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S MISSION</Identifier>
        <ReturnReference>FORM 990 - ORGANIZATION'S MISSION</ReturnReference>
        <Explanation>THE CENTER FOR ORTHOPAEDIC TRAUMA ADVANCEMENT (THE "ASSOCIATION") IS A NATIONAL NONPROFIT CORPORATION ORGANIZED TO SUPPORT THE ORTHOPAEDIC TRAUMA ASSOCIATION, ADVANCE EDUCATION AND METHODS OF TEACHING AND TRAINING IN ORTHOPAEDIC TRAUMA, IMPROVE UNDERSTANDING AS TO THE TREATMENT OF MUSCULOSKELETAL INJURY, REPAIR AND TREATMENT, PROMOTE RESEARCH CONCERNING ORTHOPAEDIC TRAUMA AND ADVANCE THE INTERESTS OF THE PUBLIC AND PATIENTS COMMUNITY BY SUPPORTING AND PROMOTING THE EDUCATION AND STUDY OF ORTHOPAEDIC TRAUMA. ACTIVITIES ARE FUNDED BY GRANTS FROM SPONSORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MANAGEMENT DELEGATED</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 3</ReturnReference>
        <Explanation>MANAGEMENT DUTIES ARE DELEGATED TO AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S PROCESS USED TO REVIEW FORM 990</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 11B</ReturnReference>
        <Explanation>THE FORM 990 IS PREPARED BY AN INDEPENDANT ACCOUNTING FIRM FROM BOOKS AND RECORDS PROVIDED BY THE ORGANIZATION'S ACCOUNTANT. A DRAFT COPY IS PROVIDED TO THE ORGANIZATION'S ACCOUNTANT AND ALL BOARD MEMBERS FOR REVIEW. AFTER ISSUES RAISED IN THE REVIEW PROCESS ARE RESOLVED, THE FINAL FORM 990 IS REVIEWED AGAIN BY THE ORGANIZATION'S ACCOUNTANT AND TWO OFFICERS PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ENFORCEMENT OF CONFLICTS POLICY</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 12C</ReturnReference>
        <Explanation>THE OFFICERS AND DIRECTORS ARE REQUIRED TO COMPLETE THE CONFLICT OF INTEREST STATEMENT ON THE AAOS WEBSITE AND CONFIRM AT THE BOARD MEETINGS IF THIS STATEMENT CONTINUES TO BE ACCURATE. A SIGNATURE IS REQUIRED ON A WRITTEN FORM THAN NOTHING HAS CHANGED FROM THE DOCUMENTATION THAT IS PROVIDED AT THE BOARD MEETING. COPIES OF THOSE FORMS ARE ON FILE WITH THE ORGANIZATION'S EXECUTIVE DIRECTOR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 19</ReturnReference>
        <Explanation>GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>