SIGN FRACTURE CARE INTERNATIONAL: Form 990, tax year 2025

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Organization
SIGN FRACTURE CARE INTERNATIONAL (EIN 91-1952283)
Tax period
2025-01-01 to 2025-12-31
Filed
2026-08-03
IRS object ID
202602159349300630
Schema version
2025v4.2
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)
Return2026-08-03T18:40:49-05:00ReturnTs
Tax Period End2025-12-31TaxPeriodEndDt

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 120AddressLine1Txt
CityRICHLANDCityNm
State AbbreviationWAStateAbbreviationCd
ZIP99352ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2025-01-01TaxPeriodBeginDt

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)
PersonDR SARIAH KHORMAEEPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone5093711107PhoneNum
Signature2026-07-22SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonALISON C GEBERSPreparerPersonNm
PTINP00423745PTIN
Phone5097351300PhoneNum
Preparation2026-07-22PreparationDt
FieldValueIRS element (for citing)
Tax2025TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1SIGNBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerDR SARIAH KHORMAEEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1451 HILLS STREET SUITE BAddressLine1Txt
CityRICHLANDCityNm
State AbbreviationWAStateAbbreviationCd
ZIP99354ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$51,979,744GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SIGNFRACTURECARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionGIVE PATIENTS ACCESS TO AFFORDABLE AND EFFECTIVE ORTHOPAEDIC CARE IN LMIC.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee41TotalEmployeeCnt
Total Volunteers54TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,175,920PYContributionsGrantsAmt
CY Contributions Grants$50,406,422CYContributionsGrantsAmt
PY Program Service Revenue$440,249PYProgramServiceRevenueAmt
CY Program Service Revenue$494,689CYProgramServiceRevenueAmt
PY Investment Income$345,163PYInvestmentIncomeAmt
CY Investment Income$413,565CYInvestmentIncomeAmt
PY Other Revenue$44,230PYOtherRevenueAmt
CY Other Revenue$40,127CYOtherRevenueAmt
PY Total Revenue$7,005,562PYTotalRevenueAmt
CY Total Revenue$51,354,803CYTotalRevenueAmt
PY Grants And Similar Paid$189,825PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$246,866CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,780,029PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,044,445CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$685,246CYTotalFundraisingExpenseAmt
PY Other Expenses$3,654,989PYOtherExpensesAmt
CY Other Expenses$10,765,906CYOtherExpensesAmt
PY Total Expenses$6,624,843PYTotalExpensesAmt
CY Total Expenses$14,057,217CYTotalExpensesAmt
PY Revenues Less Expenses$380,719PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$37,297,586CYRevenuesLessExpensesAmt
Total Assets BOY$15,598,095TotalAssetsBOYAmt
Total Assets EOY$53,272,231TotalAssetsEOYAmt
Total Liabilities BOY$407,801TotalLiabilitiesBOYAmt
Total Liabilities EOY$250,824TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$15,190,294NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$53,021,407NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSIGN PARTNERS WITH OVERSEAS SURGEONS TO BUILD SUSTAINABLE ORTHOPAEDIC CAPACITY BY DONATING EDUCATION, INSTRUMENTS, AND IMPLANTS. BY WORKING WITH TEACHING HOSPITALS AND HOSTING EDUCATIONAL CONFERENCES WORLDWIDE, SIGN EQUIPS SURGEONS TO HEAL PATIENTS WITHIN THEIR OWN COMMUNITIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$11,297,605ExpenseAmt
Revenue$473,674RevenueAmt
DescNEARLY HALF OF THE WORLD LIVES ON LESS THAN $8.30 PER DAY. PATIENTS ARE TOO POOR TO BUY THE IMPLANTS NEEDED, AND MOST HOSPITALS DO NOT HAVE THE RESOURCES TO PURCHASE THE IMPLANTS. WHEN A PERSON LIVING IN A LOW- OR MIDDLE-INCOME COUNTRY (LMIC) BREAKS AN ARM OR LEG AND CANNOT AFFORD APPROPRIATE CARE, IT CAN EASILY SEND THEIR WHOLE FAMILY SPIRALING INTO POVERTY. WE DEVELOPED AN INNOVATIVE IMPLANT SYSTEM FOR TREATING PATIENTS IN LOW-RESOURCE HOSPITALS. THIS SYSTEM CAN BE USED WITHOUT EXPENSIVE X-RAY IMAGING OR ELECTRICITY. SIGN SURGERY TYPICALLY ENABLES A PATIENT WITH A FRACTURED BONE TO WALK IN 1 DAY, LEAVE THE HOSPITAL IN 1 WEEK, AND BE BACK AT WORK IN 1 MONTH. THE PATIENT AVOIDS POSSIBLE PERMANENT DISABILITY AND IS RETURNED TO MOBILITY. SEE SCHEDULE O ON HOW WE DISTRIBUTE APPROPRIATE ORTHOPAEDIC TECHNOLOGY.DISTRIBUTE APPROPRIATE ORTHOPAEDIC TECHNOLOGY:THE SIGN IM NAIL AND INTERLOCKING SCREW 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. WE SUPPLY NEW SIGN 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 2025, WE DISTRIBUTED 28,356 SIGN NAILS TO 52 COUNTRIES. OUR AIM IS TO ENABLE THE POOR TO GAIN ACCESS TO AFFORDABLE ORTHOPAEDIC SURGERY, WHICH MEANS THE MAJORITY OF OUR IMPLANTS ARE DONATED FREE OF CHARGE TO THE PATIENT.WE STARTED 22 NEW SIGN PROGRAMS IN 2025. THE BREAKDOWN WAS AS FOLLOWS: AFRICA: 16 PROGRAMS ASIA: 6 PROGRAMS AS OF DECEMBER 31, 2025, THE WORLD BANK INCOME CLASSIFICATIONS BY GNI FOR THE COUNTRIES WITH NEW SIGN PROGRAMS WERE AS FOLLOWS: LOW INCOME: 48% LOWER MIDDLE INCOME: 44% 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 LATE JANUARY, ARMED REBELS SEIZED GOMA, THE LARGEST CITY IN EASTERN DEMOCRATIC REPUBLIC OF THE CONGO. WE HAVE BEEN IN COMMUNICATION-IN BETWEEN INTERNET ROLLING BLACKOUTS-WITH THE TWO PROGRAM MANAGERS IN GOMA. TO ASSIST WITH THE INCREASED NUMBER OF TRAUMA PATIENTS, WE SENT AN ADDITIONAL SIGN SET AND 100 SIGN NAILS TO DRS. JOHN MUSUBAO AND ALFRED CHASUMBA.A SERIES OF TWO INTENSE EARTHQUAKES STRUCK THE MANDALAY REGION IN MYANMAR ON MARCH 28TH. TWO DAYS AFTER THE EARTHQUAKES, THE MYANMAR GOVERNMENT REPORTED 1644 DEATHS AND 3408 INJURIES. WE WERE FORTUNATE THAT THE TWO HOSPITALS NEAR THE EPICENTERS WERE NOT ADVERSELY AFFECTED BY THE EARTHQUAKES AND WERE ABLE TO START TREATING INJURED PATIENTS WITH SIGN NAILS IMMEDIATELY. TO HELP SUPPORT THE SIGN PROGRAMS' EFFORTS IN TREATING INJURED PATIENTS, WE SENT 2 SIGN SETS, 200 SIGN NAILS, AND 3 LARGE EXTERNAL FIXATOR KITS. ON AUGUST 31ST, AFGHANISTAN EXPERIENCED A 6.0 EARTHQUAKE IN NURGAL DISTRICT, A REGION 102 MILES OUTSIDE OF KABUL. THE INITIAL EARTHQUAKE AND SUBSEQUENT AFTERSHOCKS INJURED 4,000 PEOPLE AND DAMAGED MULTIPLE HEALTH CENTERS IN THE AREA. TO ASSIST WITH THE PATIENT LOAD, WE SENT TWO NEW SIGN SETS, 373 SIGN NAILS, 8 LARGE EXTERNAL FIXATOR KITS, AND A LARGE FRAGMENT INSTRUMENT SET.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,394,593ExpenseAmt
Grant$246,866GrantAmt
Revenue$21,015RevenueAmt
DescWE BUILD SUSTAINABLE ORTHOPAEDIC CAPACITY IN LMIC BY EDUCATING LOCAL SURGEONS TO CARE FOR PATIENTS IN THEIR HOME COMMUNITIES. FOR 26 YEARS, SIGN HAS BEEN WORKING ALONGSIDE SURGEONS IN LMIC, RAISING ORTHOPAEDIC KNOWLEDGE AND SKILL. WE NOW RELY ON SIGN SURGEON MENTORS TO PROVIDE EDUCATION TO NEW SURGEONS. ONCE NEW SURGEONS ARE TRAINED, THEY RECEIVE THEIR OWN STARTER SET OF THE SIGN IM NAIL SYSTEM WITH TRAINING MATERIALS INCLUDED. THE TRAINING MANUALS ARE AUGMENTED BY ONLINE MENTORSHIP VIA THE SIGN SURGICAL DATABASE (SSDB). SURGEONS ARE REQUIRED TO ENTER CASES INTO THE SSDB IN EXCHANGE FOR A FREE RESUPPLY OF SIGN NAILS. EACH CASE IS REVIEWED BY AN ORTHOPAEDIC SURGEON FROM OUR BOARD OR EXPERIENCED SIGN SURGEON MENTORS. THEIR FEEDBACK ON EACH CASE IS SENT TO ALL ORTHOPAEDIC SURGEONS AT THAT HOSPITAL VIA EMAIL.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 SENIOR ORTHOPAEDIC SURGEONS AND SIGN BOARD MEMBERS. 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 ANNUAL SIGN CONFERENCE WAS HELD IN SEPTEMBER 2025 AT SIGN HEADQUARTERS IN RICHLAND, WASHINGTON. THIS CONFERENCE PROVIDED A COMBINATION OF DIDACTIC LECTURES ON FRACTURE MANAGEMENT, CASE STUDIES, SEVEN CADAVER LAB SESSIONS, AND A SPECIAL FULL-DAY SESSION ON THORACOLUMBAR SPINE.THE 2025 SIGN CONFERENCE FEATURED 96 SURGEONS FROM 21 COUNTRIES. THE FIRST TIME ATTENDEE ORIENTATION WAS ATTENDED BY 13 SURGEONS AND INCLUDED A TOUR OF THE SIGN HQ AND BREAKOUT SESSIONS TO FAMILIARIZE NEW ATTENDEES WITH OUR INSTRUMENTS AND IMPLANTS.THE BIOSKILLS LAB AND PROCEDURAL LEARNING CENTER, WHICH WAS COMPLETED IN EARLY 2022, CONTINUES TO BE A FOCAL POINT DURING THE SIGN CONFERENCE. THESE FACILITIES ALLOW CONFERENCE ATTENDEES TO EXPERIENCE HANDS-ON TRAINING FROM EXPERT CLINICAL EDUCATORS. THE LAB SESSIONS TEACH CRITICAL TECHNIQUES SUCH AS PELVIC FRACTURES, PROXIMAL FEMUR FRACTURES, ELBOW FRACTURES, ANKLE FRACTURES/FUSIONS, THORACIC/LUMBAR SPINE, AND TIBIAL PLATEAU FRACTURES. WE CONTINUE TO DEVELOP OUR RELATIONSHIP WITH THE INSTITUTE FOR GLOBAL ORTHOPAEDICS AND TRAUMATOLOGY (IGOT). IN 2025, IGOT HOSTED THEIR THREE-DAY SURGICAL MANAGEMENT AND RECONSTRUCTIVE TRAINING COURSE (SMART) COURSE IN SAN FRANCISCO AFTER THE CONCLUSION OF THE SIGN CONFERENCE. THIS ALLOWED NEARLY ALL CONFERENCE ATTENDEES TO ATTEND AND RECEIVE ADDITIONAL CADAVER TRAINING IN FLAPS FOR SOFT TISSUE RECONSTRUCTION AND DEFORMITY CORRECTION. THE SMART COURSE INCLUDED A "REAL-LIFE" SURGICAL CASE SIMULATION, PROVIDING ATTENDEES WITH THE OPPORTUNITY TO APPLY THE SKILLS THEY LEARNED OVER THE WEEK INTO PRACTICE. IGOT ALSO HELD A CLINICAL RESEARCH SYMPOSIUM FOCUSED ON CONDUCTING STUDIES TO ADDRESS CRITICAL TREATMENT QUESTIONS FACED BY THE ATTENDEES' SPECIFIC PATIENT POPULATIONS.IGOT ALSO PROVIDES REGIONAL TRAINING IN OTHER SURGICAL TECHNIQUES TO SIGN SURGEONS IN EAST AFRICA AND NEPAL.THE 2ND INTERNATIONAL SIGN CONFERENCE WAS HELD AT SHAHAB ORTHOPAEDIC HOSPITAL IN PESHAWAR, PAKISTAN IN MAY 2025. 54 AFGHANI AND PAKISTANI SURGEONS ATTENDED IN PERSON AND DOZENS MORE PARTICIPATED VIA TELECONFERENCE. MODELING THE FORMAT AFTER THE ANNUAL SIGN CONFERENCE IN RICHLAND, WA, DR. FASEEH SHAHAB ORGANIZED LOCAL SURGEONS TO BE THE PRIMARY FACULTY, PROVIDING LECTURES THAT HIGHLIGHTED THEIR EXPERTISE, RESEARCH, AND EXPERIENCE.DR. DAVID SHEARER, VICE PRESIDENT OF THE SIGN BOARD, TRAVELED AND PRESENTED AT THE CONFERENCE IN PERSON. IN ADDITION, EXPERT SURGEONS FROM AROUND THE WORLD PRESENTED VIA ZOOM, INCLUDING DR. LEWIS ZIRKLE, SIGN PRESIDENT AND FOUNDER, AND DR. AUNG THEIN HTAY FROM MYANMAR, DR. ISMAIL WARDAK FROM AFGHANISTAN, AND DR. EMEKA IZUAGBA FROM NIGERIA.SIGN AND IGOT PARTNERED WITH THE MUHIMBILI ORTHOPAEDIC INSTITUTE TO HOLD THE 10TH ANNUAL TANZANIA SMART COURSE IN JUNE 2025. OVER 140 SURGEONS ATTENDED THE COURSE FOCUSING ON A MIX OF DIDACTIC LECTURES AND DEMONSTRATIONS FOR ORTHOPAEDIC SURGEONS AND RESIDENTS. THIS YEAR'S COURSE FEATURED SEVERAL MEMBERS OF THE SIGN CLINICAL ADVISORY COMMITTEE AS FACULTY: DR. BILLY HAONGA (TANZANIA), DR. FASEEH SHAHAB (PAKISTAN), DR. EMEKA IZUAGBA (NIGERIA), AND DR. DAVID SHEARER (USA).THE HUB, SIGN'S WEBSITE FOR EDUCATIONAL RESOURCES FOR SURGEONS, CONTAINS VIDEOS, ARTICLES, DISCUSSIONS, AND MORE TO PROVIDE ONGOING LEARNING OPPORTUNITIES FOR SURGEONS ACROSS THE GLOBE.THE SIGN IT DEPARTMENT CONTINUES TO MAKE IMPROVEMENTS TO THE SIGN SURGICAL DATABASE WEBSITE, WHICH IS THE BACKBONE OF REPORTING AND RESEARCHING SURGICAL CASES. OUR IT DEPARTMENT HAS IMPROVED THE STUDIES AND RESEARCH TOOLS ON THE DATABASE TO ACCOMMODATE USER NEEDS AND UPDATED THE BACK-END FRAMEWORK OF THE DATABASE TO IMPROVE OVERALL EFFICIENCY.OUR TRAVELING SET PROGRAM MODEL WAS A CONTINUED SUCCESS IN ETHIOPIA, TANZANIA, AND GHANA. IN THIS MODEL, THE MENTOR SURGEON MANAGING THE SET IDENTIFIES A HOSPITAL THEY BELIEVE HAS THE POTENTIAL TO SERVE MANY PATIENTS. THE MENTOR SURGEON THEN TRAVELS TO THE HOSPITAL AND TRAINS THE SURGEONS IN THE SIGN TECHNIQUE AND DATABASE REPORTING. AFTER THE TRAINING IS COMPLETED, THE SET IS STATIONED AT THE HOSPITAL FOR THREE MONTHS. IF THE HOSPITAL REPORTS AT LEAST 25 CASES WITHIN THE THREE-MONTH PERIOD, THEY ARE ELIGIBLE TO APPLY TO START THEIR OWN SIGN PROGRAM. WE STARTED 4 NEW PROGRAMS IN TANZANIA VIA THE TRAVELING SETS IN 2025. BASED ON THE SUCCESS OF THE PREVIOUS TRAVELING SETS, WE HAVE ADDED NEW TRAVELING SET PROGRAMS IN TANZANIA AND THE GAMBIA.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$238,471ExpenseAmt
DescPEOPLE LIVING IN LMICS CANNOT ACCESS SPINE CARE WHEN IT IS NOT AVAILABLE IN THEIR COMMUNITY. THE INCIDENCE OF TRAUMATIC SPINAL INJURIES IN LMICS IS ESTIMATED TO BE 13.7 CASES PER 100,000 PERSONS. SIGN HAS IMPLEMENTED A SIGN SPINE PROGRAM AT TWO HOSPITALS IN TWO COUNTIES. WE HAVE PLANS TO EXPAND INTO THREE MORE COUNTRIES WITH A TOTAL OF 10 SITES. WE HAVE THREE GOALS: 1. IMPROVE ACCESS TO SAFE SPINE SURGERY WORLDWIDE. 2. IMPROVE ACCESS TO SPINE SURGICAL EDUCATION AND TRAINING. 3. IMPROVE ACCESS TO AFFORDABLE SPINE IMPLANTS. SIGN IS PARTNERING WITH TEACHING HOSPITALS IN CANADA TO PROVIDE YEAR-LONG FELLOWSHIPS FOR SURGEONS FROM LMIC HOSPITALS. THE GRADUATES WILL RETURN TO THEIR HOSPITALS TO PROVIDE SAFE, EFFECTIVE CARE FOR PATIENTS WITH SPINE INJURIES, AS WELL AS PROVIDE TRAINING TO OTHER SURGEONS.WE HAVE ALSO BEGUN DEVELOPING A NEW KIND OF PROGRAM, FOCUSED ON PROVIDING EDUCATION AND IMPLANTS RELATING TO TREATING SPINE FRACTURES. THIS NEW PROGRAM IS REFERRED TO AS SIGN SPINE. AS OF 2025, WE HAVE ACTIVE SPINE PROGRAMS IN KENYA, TANZANIA, MALAWI, ETHIOPIA, AND PAKISTAN.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$12,930,669TotalProgramServiceExpensesAmt
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
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To OrgYes (1)MoreThan5000KToOrgInd
More Than5000 K To IndividualsYes (1)MoreThan5000KToIndividualsInd
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 With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
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
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Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee41EmployeeCnt
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
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
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Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
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
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Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KIM FAIRBusinessNameLine1Txt
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 (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
CARLA SMITH MD PHD
BOARD MEMBER1.00Yes (X)$0$0$0
DANIELE SCIUTO MD
BOARD MEMBER9.50Yes (X)$0$0$0
LEWIS G ZIRKLE MD
PRESIDENT/FOUNDER50.00Yes (X)$0$0$0Yes (X)
RANDALL HUEBNER
BOARD MEMBER20.00Yes (X)$0$0$0
STEPHEN SCHWARTZ
BOARD MEMBER1.00Yes (X)$0$0$0
RICHARD GELLMAN MD
BOARD MEMBER4.00Yes (X)$0$0$0
DAVID SHEARER MD
VICE PRESIDENT/TREASURER5.00Yes (X)$0$0$0Yes (X)
ANN PENNER
BOARD MEMBER10.00Yes (X)$0$0$0
BEN RIVERA
BOARD MEMBER1.50Yes (X)$0$0$0
JEANNE DILLNER
SECRETARY/CEO60.00$180,416$0$15,816Yes (X)
SARIAH KHORMAEE MD PHD
SECRETARY/CEO60.00$71,848$0$8,950Yes (X)
ROBERT SCHMITT
REGULATORY AFFAIRS MANAGER40.00$149,260$0$15,679Yes (X)
TERRY SMITH
ENGINEERING MANAGER40.00$168,359$0$7,002Yes (X)
BRIAN BARNES
IT MANAGER40.00$139,783$0$14,357Yes (X)
JOEL GILLARD
SENIOR R&D ENGINEER40.00$125,191$0$16,616Yes (X)
FRANKLYN FAULTERSACK
QUALITY ASSURANCE MANAGER40.00$120,104$0$31,531Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$954,961TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$109,951TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K12IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ADPBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE ADP BOULEVARDAddressLine1Txt
CityROSELANDCityNm
State AbbreviationNJStateAbbreviationCd
ZIP070681728ZIPCd
FieldValueIRS element (for citing)
ServicesPAYROLL SERVICESServicesDesc
Compensation$121,103CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Fundraising$113,195FundraisingAmt
All Other Contributions$50,293,227AllOtherContributionsAmt
Noncash Contributions$44,901,178NoncashContributionsAmt
Total Contributions$50,406,422TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
IMPLANT REVENUE339110$473,674$473,674
OTHER REVENUE541900$15,692$15,692
TRAINING CONFERENCE611430$5,323$5,323
FieldValueIRS element (for citing)
Total Program Service Revenue$494,689TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$209,124TotalRevenueColumnAmt
Exclusion$209,124ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$66,600RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$17,678RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$48,922RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$48,922TotalRevenueColumnAmt
Exclusion$48,922ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$791,409SecuritiesAmt
Other$3,100OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$589,622SecuritiesAmt
Other$446OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$201,787SecuritiesAmt
Other$2,654OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$204,441TotalRevenueColumnAmt
Exclusion$204,441ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$8,400FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$113,195ContriRptFundraisingEventAmt
Fundraising Direct Expenses$17,195FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$8,795TotalRevenueColumnAmt
Exclusion-$8,795ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$51,354,803TotalRevenueColumnAmt
Related Or Exempt Func Income$494,689RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$453,692ExclusionAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$246,866TotalAmt
Program Services$246,866ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$265,030TotalAmt
Program Services$212,713ProgramServicesAmt
Management And General$19,877ManagementAndGeneralAmt
Fundraising$32,440FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,779,415TotalAmt
Program Services$2,005,919ProgramServicesAmt
Management And General$291,078ManagementAndGeneralAmt
Fundraising$482,418FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$26,914TotalAmt
Management And General$26,914ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$94,557TotalAmt
Program Services$27,268ProgramServicesAmt
Management And General$32,838ManagementAndGeneralAmt
Fundraising$34,451FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,395TotalAmt
Program Services$7,770ProgramServicesAmt
Management And General$250ManagementAndGeneralAmt
Fundraising$375FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$41,589TotalAmt
Program Services$34,243ProgramServicesAmt
Management And General$4,200ManagementAndGeneralAmt
Fundraising$3,146FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$195,004TotalAmt
Program Services$195,004ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$253,880TotalAmt
Program Services$205,546ProgramServicesAmt
Management And General$19,226ManagementAndGeneralAmt
Fundraising$29,108FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$21,869TotalAmt
Program Services$16,162ProgramServicesAmt
Management And General$2,287ManagementAndGeneralAmt
Fundraising$3,420FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SUPPLIES$7,601,536$7,527,243$11,533$62,760
COST OF PRODUCT DISTRIB$2,159,824$2,159,824
SHIPPING$135,249$135,249
MISCELLANEOUS$65,353$39,996$16,871$8,486

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$161,736TotalAmt
Program Services$116,866ProgramServicesAmt
Management And General$16,228ManagementAndGeneralAmt
Fundraising$28,642FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$14,057,217TotalAmt
Program Services$12,930,669ProgramServicesAmt
Management And General$441,302ManagementAndGeneralAmt
Fundraising$685,246FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,813,294BOYAmt
EOY$1,177,925EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,987,581BOYAmt
EOY$3,111,785EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$110,680BOYAmt
EOY$13,739EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,036,574BOYAmt
EOY$38,309,295EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$137,011BOYAmt
EOY$163,362EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,767,790LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,239,911LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,971,812BOYAmt
EOY$4,527,879EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$5,531,828BOYAmt
EOY$5,961,059EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$9,315BOYAmt
EOY$7,187EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$15,598,095BOYAmt
EOY$53,272,231EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$407,801BOYAmt
EOY$250,824EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$407,801BOYAmt
EOY$250,824EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,326,232BOYAmt
EOY$52,000,013EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$864,062BOYAmt
EOY$1,021,394EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,190,294BOYAmt
EOY$53,021,407EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,598,095BOYAmt
EOY$53,272,231EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$37,297,586ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$533,527NetUnrlzdGainsLossesInvstAmt
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)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,982,956CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,595,978CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,466,734CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,175,920CurrentTaxYearMinus1YearAmt
Current Tax Year$6,347,590CurrentTaxYearAmt
Total$32,569,178TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,982,956CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,595,978CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,466,734CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,175,920CurrentTaxYearMinus1YearAmt
Current Tax Year$6,347,590CurrentTaxYearAmt
Total$32,569,178TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$8,982,435SubstantialContributorsTotAmt
Public Support Total170$23,586,743PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$156,555CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$155,866CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$207,407CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$215,441CurrentTaxYearMinus1YearAmt
Current Tax Year$275,124CurrentTaxYearAmt
Total$1,010,393TotalAmt
FieldValueIRS element (for citing)
Total Support$33,579,571TotalSupportAmt
Gross Receipts Rltd Activities$3,311,236GrossReceiptsRltdActivitiesAmt
Public Support CY1700.70240PublicSupportCY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support PY5090.87780PublicSupportPY509Pct
Investment Income PY0.02460InvestmentIncomePYPct

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE A, PART VI, LIST OF UNUSUAL GRANTS:DESCRIPTION: MEDICAL IMPLANTS AND RELATED CASH FOR DISTRIBUTION DATE: 10/26/25 AMOUNT: 37481087. DESCRIPTION: SPINE IMPLANTS DATE: 07/16/25 AMOUNT: 3645980. DESCRIPTION: MEDICAL IMPLANTS AND INSTRUMENTS DATE: 12/04/25 AMOUNT: 2931765.
PART II LINE 1DESCRIPTION OF UNUSUAL GRANTS: EXTRAORDINARY, UNEXPECTED, AND NON-RECURRING IN-KIND DONATIONS OF MEDICAL DEVICES WAS RECEIVED IN 2025 FROM THREE DISINTERESTED CORPORATE DONORS WITH A FAIR VALUE OF $43,958,832 AND CASH OF $100,000 TO BE USED TO DISTRIBUTE THE MEDICAL DEVICES. THE MEDICAL DEVICES WILL BE DONATED TO HOSPITALS IN DEVELOPING COUNTRIES TO SUPPLEMENT THE ORGANIZATION'S CURRENT PROGRAM. DUE TO THE EXCEPTIONAL SIZE RELATIVE TO OUR TYPICAL ANNUAL CONTRIBUTIONS, INCLUSION OF THE IN-KIND DONATIONS WOULD SEVERELY DISTORT THE ORGANIZATION'S PUBLIC SUPPORT CALCULATION FOR THE 5-YEAR PERIOD.

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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$880,000OtherCostOrOtherBasisAmt
Book Value$880,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,631,388OtherCostOrOtherBasisAmt
Depreciation$414,038DepreciationAmt
Book Value$1,217,350BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,093,974OtherCostOrOtherBasisAmt
Depreciation$1,019,115DepreciationAmt
Book Value$1,074,859BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,232,835OtherCostOrOtherBasisAmt
Depreciation$2,162,830DepreciationAmt
Book Value$1,070,005BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$929,593OtherCostOrOtherBasisAmt
Depreciation$643,928DepreciationAmt
Book Value$285,665BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,527,879TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$54,078,462TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$533,527NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$2,155,259DonatedServicesAndUseFcltsAmt
Other Revenue$34,873OtherRevenueAmt
Revenue Not Reported$2,723,659RevenueNotReportedAmt
Revenue Subtotal$51,354,803RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$51,354,803TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$16,247,349TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$2,155,259DonatedServicesUseFcltsAmt
Other Expenses Included$34,873OtherExpensesIncludedAmt
Expenses Not Reported$2,190,132ExpensesNotReportedAmt
Expenses Subtotal$14,057,217ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$14,057,217TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:MANAGEMENT HAS EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 17,678. SPECIAL EVENT EXPENSES 17,195.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 17,678. SPECIAL EVENT EXPENSES 17,195.

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (7 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN00PROGRAM SERVICESORTHOPAEDIC IMPLANTS$99,266
EAST ASIA AND THE PACIFIC00PROGRAM SERVICESORTHOPAEDIC IMPLANTS$654,982
SOUTH AMERICA00PROGRAM SERVICESORTHOPAEDIC IMPLANTS$9,054
SOUTH ASIA00PROGRAM SERVICESORTHOPAEDIC IMPLANTS$968,704
SUB-SAHARAN AFRICA00PROGRAM SERVICESORTHOPAEDIC IMPLANTS$3,770,567
SUB-SAHARAN AFRICA00GRANTSTRAINING, IMPLANTS, STIPEND$230,468
RUSSIA & THE NEWLY INDEPENDENT STATES00PROGRAM SERVICESORTHOPAEDIC IMPLANTS$20,061
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$5,753,102SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$5,753,102TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (7 entries)

RegionRegionTxtPurpose Of GrantPurposeOfGrantTxtCash GrantCashGrantAmtManner Of Cash DisbursementMannerOfCashDisbursementTxtNon Cash AssistanceNonCashAssistanceAmtDescription Of Non Cash AsstDescriptionOfNonCashAsstTxtValuation Method UsedValuationMethodUsedDesc
EUROPEFELLOWSHIP STIPEND$11,218WIRE$0
NORTH AMERICAFELLOWSHIP STIPEND$50,000WIRE$0
SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO,RESEARCH/EDUCATION STIPEND$15,000WIRE$0
NORTH AMERICAFELLOWSHIP STIPEND$50,000WIRE$0
SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO,RESEARCH/EDUCATION STIPEND$10,000WIRE$0
SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO,RESEARCH/EDUCATION STIPEND$10,000WIRE$0
SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO,MEDICAL INSTRUMENTS$0$13,995MEDICAL INSTRUMENTSCOST

Foreign Individuals Grants ForeignIndividualsGrantsGrp

FieldValueIRS element (for citing)
Type Of AssistanceFELLOWSHIP STIPENDTypeOfAssistanceTxt
RegionSUB-SAHARAN AFRICARegionTxt
Recipient4RecipientCnt
Cash Grant$79,250CashGrantAmt
Manner Of Cash DisbursementWIREMannerOfCashDisbursementTxt
FieldValueIRS element (for citing)
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationGRANT 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

FieldValueIRS element (for citing)
Event1TRI-CITY BENEFITEvent1Nm
Gross Receipts Event1$121,595GrossReceiptsEvent1Amt
Charitable Contri Event1$113,195CharitableContriEvent1Amt
Gross Revenue Event1$8,400GrossRevenueEvent1Amt
Rent Facility Costs Event1$4,569RentFacilityCostsEvent1Amt
Food And Beverage Event1$8,400FoodAndBeverageEvent1Amt
Entertainment Event1$2,015EntertainmentEvent1Amt
Other Direct Expenses Event1$2,211OtherDirectExpensesEvent1Amt
Gross Receipts Total$121,595GrossReceiptsTotalAmt
Charitable Contributions Tot$113,195CharitableContributionsTotAmt
Gross Revenue Total Events$8,400GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$4,569RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$8,400FoodAndBeverageTotalEventsAmt
Entertainment Total Events$2,015EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$2,211OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$17,195DirectExpenseSummaryEventsAmt
Net Income Summary-$8,795NetIncomeSummaryAmt

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 (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JEANNE DILLNER
SECRETARY/CEO$180,416$0$0$0$0$0$6,819$0$8,997$0$196,232$0$0$0
TERRY SMITH
ENGINEERING MANAGER$168,359$0$0$0$0$0$6,739$0$263$0$175,361$0$0$0
ROBERT SCHMITT
REGULATORY AFFAIRS MANAGER$149,260$0$0$0$0$0$6,048$0$9,631$0$164,939$0$0$0
BRIAN BARNES
IT MANAGER$139,783$0$0$0$0$0$5,798$0$8,559$0$154,140$0$0$0
FRANKLYN FAULTERSACK
QUALITY ASSURANCE MANAGER$120,104$0$0$0$0$0$5,622$0$25,909$0$151,635$0$0$0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution12ContributionCnt
Noncash Contributions Rpt F990$148,221NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR VALUEMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution30ContributionCnt
Noncash Contributions Rpt F990$44,703,585NoncashContributionsRptF990Amt
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 TRAINING5$24,417FAIR VALUE
Yes (X)OFFICE SUPPLIES19$13,304FAIR VALUE
Yes (X)OTHER3$11,650FAIR 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 1, DESCRIPTION OF ORGANIZATION MISSION:SIGN'S VISON IS TO CREATE EQUALITY OF FRACTURE CARE THROUGHOUT THE WORLD. IN IMPLEMENTING ITS VISION, SIGN EMPOWERS SURGEONS, IMPLANTS HOPE AND RESTORES THE LIVES OF THE INJURED POOR AROUND THE WORLD. SIGN SURGERY ENABLES PEOPLE WITH SEVERELY BROKEN BONES TO WALK AND RETURN HOME WITHIN ONE WEEK OF SURGERY AND RETURN TO NORMAL FUNCTION WITHIN A FEW WEEKS. SIGN'S MISSION IS TO GIVE THE INJURED POOR ACCESS TO FRACTURE SURGERY BY DONATING ORTHOPAEDIC EDUCATION AND IMPLANT SYSTEMS TO SURGEONS IN DEVELOPING COUNTRIES. SIGN BUILDS SUSTAINABLE ORTHOPAEDIC CAPACITY IN LOW- AND MIDDLE-INCOME COUNTRIES (LMIC) BY EDUCATING LOCAL SURGEONS TO CARE FOR AND TREAT PATIENTS IN THEIR HOME COMMUNITIES. SIGN EQUIPS THE SURGEONS WITH THE SKILLS AND TOOLS THEY NEED, ENABLING THEM TO PROVIDE ONGOING CARE AND SUPPORT TO THEIR PATIENTS. THIS EDUCATION IS AUGMENTED THROUGH THE PROVISION OF A SUSTAINABLE SUPPLY OF ORTHOPAEDIC IMPLANTS AND INSTRUMENTS DESIGNED FOR USE IN LOW-RESOURCE HOSPITAL CONDITIONS. BY EMPOWERING SURGEONS IN LMIC, THESE SURGEONS ARE ABLE TO ACHIEVE EQUITABLE RESULTS IN THE TREATMENT THEY PROVIDE TO PATIENTS IN THEIR COMMUNITIES. SIGN DESIGNS AND MANUFACTURES THE SIGN IM NAIL SYSTEM WHICH IS DESIGNED FOR USE IN AUSTERE OPERATING ROOM CONDITIONS. SIGN FRACTURE CARE INTERNATIONAL IS REGISTERED WITH THE UNITED STATES FOOD AND DRUG ADMINISTRATION (FDA). SIGN MANUFACTURES FINISHED MEDICAL DEVICES IN COMPLIANCE WITH THE CODE OF FEDERAL REGULATIONS, FDA QUALITY SYSTEM REGULATION. SIGN MAINTAINS A QUALITY MANAGEMENT SYSTEM THAT IS CERTIFIED TO BE COMPLIANT WITH ISO 13485:2016. ADDITIONALLY, SIGN DISTRIBUTES IN-KIND DONATIONS OF PRODUCTS NOT MANUFACTURED BY SIGN TO SOME OF THE BUSIER PROGRAMS. ACCORDING TO THE WORLD HEALTH ORGANIZATION (WHO), 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 LMIC WHERE ACCESS TO ADEQUATE CARE IS LIMITED. BY EQUIPPING LOCAL SURGEONS WITH THE SKILLS AND TOOLS THEY NEED, SIGN ENABLES THEM TO PROVIDE ONGOING CARE AND SUPPORT TO THEIR PATIENTS. THIS EMPOWERMENT UPLIFTS RECIPIENTS AND THEIR FAMILIES, ENABLING THEM TO BREAK FREE FROM THE CYCLE OF POVERTY. THERE ARE APPROXIMATELY 7,000 SURGEONS IN MORE THAN 410 HOSPITALS IN 57 LMIC WHICH HAVE BENEFITED FROM SIGN EDUCATION AND THE PROVISION OF IMPLANTS AND INSTRUMENTS. WITH MORE THAN 400,000 SURGERIES TO DATE, AND WITH AN AVERAGE FAMILY SIZE OF FIVE, THIS MEANS SIGN HAS TOUCHED AND IMPROVED THE LIVES OF OVER 2 MILLION PEOPLE. SIGN ALSO RESPONDS TO DISASTERS AND CONFLICTS IN LOCATIONS WHERE SIGN HAS EXISTING PROGRAMS OR WHERE SIGN PROGRAMS NEED TO BE DEVELOPED. SINCE ELECTRICITY AND OTHER RESOURCES TYPICALLY FOUND IN OPERATING ROOMS AREN'T NEEDED TO PERFORM SIGN SURGERY, IT IS AN EFFECTIVE MEANS TO REDUCE THE NUMBER OF PERMANENT DISABILITIES FOR INJURED PEOPLE FOLLOWING A NATURAL DISASTER OR CONFLICT.
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 2CTHE ORGANIZATION HAS NOT CHANGED THEIR OVERSIGHT PROCESS OR SELECTION PROCESS OF SELECTING AN INDEPENDENT AUDITOR DURING THE TAX YEAR.

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