2026-04-16T09:19:32-05:00 2025-06-30 991856619 GRANT THORNTON ADVISORS LLC 171 N CLARK ST STE 200 CHICAGO IL 60601 990 2024-07-01 362192800 AMERICAN COLLEGE OF SURGEONS AMER 3122025000 633 N SAINT CLAIR STREET CHICAGO IL 60611 PAIGE A RODGERS CHIEF FINANCIAL OFFICER 3122025000 2026-04-16 1 0 BRIDGET T ROCHE P00666837 3128560200 2024 2025-03-06 01:10:19Z BETH H SUTTON 633 N SAINT CLAIR STREET CHICAGO IL 60611 403749387 0 X WWW.FACS.ORG X 1912 IL TO IMPROVE THE QUALITY OF CARE OF THE SURGICAL PATIENT THROUGH EDUCATION AND RESEARCH. 23 22 532 2000 -684980 307889 23752991 24967423 100390296 101392562 16703485 48257376 862729 2853559 141709501 177470920 2161408 2216315 0 0 78888524 79984498 0 0 707095 61561598 60348603 142611530 142549416 -902029 34921504 721611230 773004565 186530820 181941749 535080410 591062816 X THE AMERICAN COLLEGE OF SURGEONS IS DEDICATED TO IMPROVING THE CARE OF THE SURGICAL PATIENT AND TO SAFEGUARDING STANDARDS OF CARE IN AN OPTIMAL AND ETHICAL PRACTICE ENVIRONMENT. 0 1 53936424 2500 84881131 THE MISSION OF THE ACS QUALITY PROGRAMS, FORMERLY REFERRED TO AS THE DIVISION OF RESEARCH AND OPTIMAL CARE (DROPC), IS TO ENABLE SURGEONS TO APPLY THE BEST SCIENTIFIC EVIDENCE IN THEIR DAILY PRACTICE WITH RESPECT, COMPASSION, AND DIGNITY FOR ALL PATIENTS. ACS QUALITY PROGRAMS FOCUS ON CONDUCTING RESEARCH AND DEVELOPING PROGRAMS TO ENHANCE THE QUALITY OF SURGICAL PATIENT CARE BY ANALYZING DATA AND IDENTIFYING AREAS FOR IMPROVEMENT THROUGH INITIATIVES SUCH AS THE ACS NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM (ACS NSQIP). (CONTINUED IN SCH O). 21884484 28167 11370621 EDUCATIONAL PROGRAMS - THE COLLEGE'S EDUCATION DIVISION SUPPORTS THE EFFORTS OF PRACTICING SURGEONS, SURGERY RESIDENTS, MEDICAL STUDENTS, AND MEMBERS OF SURGICAL TEAMS TO PROVIDE THE BEST CARE TO PATIENTS. UNDER THE NEW STRATEGIC PLAN, THE DIVISION FOCUSES ON PROVIDING TIMELY, EVIDENCE-BASED TRAINING THROUGH ACCESSIBLE AND MODERNIZED PLATFORMS TO PREPARE SURGEONS FOR CURRENT AND FUTURE ROLES. TO HELP SURGEONS OPTIMIZE THEIR PRACTICES, ATTAIN NEW SKILLS, AND MANAGE THEIR CAREERS, THE ACS OFFERS DOZENS OF EDUCATIONAL OPPORTUNITIES THAT CONTINUALLY EVOLVE TO MEET CHANGING NEEDS. THESE OPPORTUNITIES RANGE FROM RIGOROUS READINESS ASSESSMENTS FOR RESIDENTS TO COURSES DESIGNED TO ENHANCE SURGEONS' SKILLS AS EDUCATORS AND LEADERS. (CONTINUED IN SCH O). 10759489 2115648 686734 THE DIVISION OF MEMBER SERVICES SERVES AS THE PRIMARY ARCHITECT OF THE AMERICAN COLLEGE OF SURGEONS PROFESSIONAL COMMUNITY, SUPPORTING MORE THAN 93,000 SURGEONS, MEDICAL STUDENTS, AND SURGICAL CARE TEAM MEMBERS GLOBALLY. THE DIVISION IS DEDICATED TO FOSTERING PROFESSIONAL CONNECTIONS, DELIVERING PRACTICAL PRACTICE RESOURCES, AND CULTIVATING LEADERSHIP PATHWAYS FOR SURGEONS AT EVERY CAREER STAGE FROM RESIDENCY THROUGH RETIREMENT. (CONTINUED IN SCH O) 25587863 70000 975069 THE PURPOSE OF THE DIVISION OF ADVOCACY AND HEALTH POLICY IS TO IDENTIFY AND ADDRESS PUBLIC POLICY ISSUES AFFECTING SURGEONS AND THEIR PATIENTS AT BOTH FEDERAL AND STATE LEVELS. THE ACS MAINTAINS PRODUCTIVE RELATIONSHIPS WITH POLICYMAKERS TO PROTECT THE ROLE OF SURGEONS AS LEADERS OF THE CARE TEAM.MEDICARE PHYSICIAN PAYMENT REFORM: REFORMING THE PHYSICIAN PAYMENT SYSTEM IS A TOP PRIORITY AS SURGEONS FACE CONTINUED REDUCTIONS. FOLLOWING ACS ADVOCACY, A BUDGET RECONCILIATION PACKAGE PROVIDED SHORT-TERM RELIEF, INCLUDING LANGUAGE TO INCREASE MEDICARE PHYSICIAN PAYMENTS BY 2.5% FOR 2026.GLOBAL SURGICAL PACKAGES: THE ACS SUBMITTED FORMAL TESTIMONY TO MEDPAC AND CMS ADVOCATING AGAINST REVALUING OR ELIMINATING 10- AND 90-DAY GLOBAL SURGICAL PACKAGES WITHOUT ACCURATE DATA, EMPHASIZING THAT ARBITRARY CHANGES COULD RESULT IN UNINTENDED FINANCIAL CONSEQUENCES FOR PATIENTS.WORKFORCE AND PATIENT ACCESS: THE ACS CHAMPIONS LEGISLATION TO STRENGTHEN THE SURGICAL WORKFORCE, INCLUDING THE RESIDENT EDUCATION DEFERRED INTEREST (REDI) ACT, WHICH ALLOWS RESIDENTS TO DEFER STUDENT LOAN PAYMENTS WITHOUT INTEREST.EMERGENCY PREPAREDNESS: A PRIMARY FOCUS REMAINS THE REAUTHORIZATION OF THE PANDEMIC ALL-HAZARDS PREPAREDNESS ACT (PAHPA), WHICH INCLUDES THE MISSION ZERO GRANT PROGRAM THAT EMBEDS MILITARY SURGEONS INTO CIVILIAN TRAUMA SYSTEMS.PUBLIC HEALTH AND SAFETY: THE ACS LEADS FIREARM INJURY PREVENTION EFFORTS THROUGH PUBLIC HEALTH RESEARCH AND DISCUSSIONS WITH FEDERAL OFFICES, AND ADVOCATES FOR THE IMPROVING POLICE CARE ACT TO SUPPORT "STOP THE BLEED" INITIATIVES. 25587863 70000 975069 112168259 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 1 0 1 0 0 0 0 1 1 1 0 0 0 0 0 1 0 0 1 0 0 0 0 1 1 1 0 0 1 X 164 0 532 1 1 1 1 CA UK GM FR 0 0 0 0 0 0 0 0 1 0 X 23 22 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X PAIGE A RODGERS 3122025000 633 N SAINT CLAIR STREET CHICAGO IL 60611 LENA M NAPOLITANO DIR (THRU 10/24)/V.CHAIR (AS OF 10/24) 39.00 1.00 X X 25001 0 0 BETH H SUTTON ACS PRESIDENT (AS OF 10/24) 1.00 2.00 X X 662 0 0 FABRIZIO MICHELASSI V CHAIR (THRU 10/24)/ CHAIR (AS OF 10/24) 1.00 1.00 X X 0 0 0 HENRI R FORD ACS PRESIDENT (THRU 10/24) 1.00 2.00 X X 73809 0 0 ANTHONY ATALA CHAIR (THRU 10/24) / DIR. (AS OF 10/24) 1.00 1.00 X 0 0 0 CAROL L BROWN DIRECTOR 1.00 1.00 X 0 0 0 FRANCOISE P CHAGNON DIRECTOR 1.00 1.00 X 0 0 0 ANNESLEY AJ W COPELAND DIRECTOR 1.00 1.00 X 0 0 0 JAMES C DENNENY III DIRECTOR (THRU 10/24) 1.00 1.00 X 0 0 0 DANIEL L DENT DIRECTOR (AS OF 10/24) 1.00 1.00 X 0 0 0 AUDRA A DUNCAN DIRECTOR (AS OF 10/24) 1.00 1.00 X 0 0 0 TIMOTHY J EBERLEIN DIRECTOR (THRU 10/24) 39.00 1.00 X 162500 0 0 DIANA L FARMER DIRECTOR 1.00 1.00 X 0 0 0 LIANE S FELDMAN DIRECTOR 1.00 1.00 X 0 0 0 JAMES W FLESHMAN JR DIRECTOR 1.00 1.00 X 0 0 0 ARUN K GOSAIN DIRECTOR (AS OF 10/24) 1.00 1.00 X 0 0 0 ANDREA A HAYES-DIXON DIRECTOR 1.00 1.00 X 0 0 0 SANJAY R PARIKH DIRECTOR (AS OF 10/24) 1.00 1.00 X 0 0 0 LINDA G PHILLIPS DIRECTOR (THRU 10/24) 1.00 1.00 X 0 0 0 SARWAT SALIM DIRECTOR 1.00 1.00 X 0 0 0 MARK T SAVARISE DIRECTOR (THRU 07/24) 1.00 1.00 X 0 0 0 KENNETH W SHARP DIRECTOR 1.00 1.00 X 0 0 0 ANTON N SIDAWY DIRECTOR (THRU 07/24) 1.00 1.00 X 0 0 0 STEVEN C STAIN MD DIRECTOR 1.00 1.00 X 0 0 0 GARY L TIMMERMAN DIRECTOR 1.00 1.00 X 0 0 0 SHELLY D TIMMONS DIRECTOR 1.00 1.00 X 0 0 0 DAVID J WELSH DIRECTOR 1.00 1.00 X 0 0 0 PHILIP R WOLINSKY DIRECTOR 1.00 1.00 X 0 0 0 DOUGLAS E WOOD DIRECTOR 1.00 1.00 X 0 0 0 DON K NAKAYAMA TREASURER 1.00 2.00 X 0 0 0 DENNIS H KRAUS SECOND VP (AS OF 10/24) 1.00 1.00 X 0 0 0 DEBORAH A KUHLS SECOND VP (THRU 10/24) 1.00 1.00 X 0 0 0 SHERRY M WREN SECRETARY 1.00 1.00 X 0 0 0 PATRICIA L TURNER EXECUTIVE DIRECTOR & CEO 38.00 2.00 X 1151185 0 299707 PAIGE A RODGERS CFO 38.00 2.00 X 660957 0 96697 NANCY L GANTT FIRST VP (AS OF 10/24) 1.00 1.00 X 10595 0 0 TYLER G HUGHES FIRST VP (THRU 10/24) 39.00 1.00 X 96564 0 0 AJIT SACHDEVA SVP, EDUCATION 40.00 0.00 X 907257 0 312801 CLIFFORD KO SVP, QUALITY PROGRAMS 40.00 0.00 X 979836 0 177676 MICHAEL J SUTHERLAND SVP, MEMBER SERVICES 40.00 0.00 X 619563 0 133591 MICHELLE MCGOVERN CHIEF HR OFFICER 40.00 0.00 X 571329 0 201828 RONALD J WEIGEL MEDICAL DIRECTOR, CANCER PROGRAMS 40.00 0.00 X 710845 0 38776 CHRISTIAN D SHALGIAN SVP. ADVOCACY AND HEALTH 40.00 0.00 X 484787 0 173330 GIRMA TEFERA MEDICAL DIRECTOR, ACS HOPE 40.00 0.00 X 475534 0 137113 LEWIS FLINT EDITOR OF SELECTED READINGS (THRU 06/25) 40.00 0.00 X 529635 0 -300156 7460059 0 1271363 188 0 1 0 IQVIA RDS INC 4820 EMPEROR ROAD DURHAM NC 27703 CONSULTING 8258744 BRUNSWICK GROUP LLC 1114 AVENUE OF THE AMERICAS 24 FL NEW YORK NY 10036 PUBLIC RELATIONS 2570948 FREEMAN INTL PLAZA 2 14221 DALLAS PKWY S DALLAS TX 75254 EVENT PLANNING 1928161 CAMBRIDGE ASSOCIATES LLC 115 FEDERAL STREET SUITE 2600 BOSTON MA 02110 FINANCIAL SERVICES 1293810 AMWINS GROUP BENEFIT LLC 50 WHITECAP DRIVE NORTH KINGSTOWN RI 02852 MARKETING 903277 55 1528829 20004290 3434304 140877 24967423 QUALITY PROGRAMS 611600 84881131 84881131 EDUCATIONAL PROGRAMS 611600 11406796 11370621 36175 ASSOCIATION MANAGEMENT SERVICES 561000 3442832 3442832 INTEGRATED COMMUNICATION 900099 975069 975069 MEMBER SERVICES 611600 686734 686734 101392562 5576298 583968 4992330 1027732 6691 1021041 17888853 16864780 1024073 1024073 -3166853 4190926 252094765 209413687 42681078 42681078 1629958 41051120 67240 0 67240 67240 COMMISSIONS 900099 361932 361932 20F STREET CONFERENCE FACILITY 532000 225081 225081 REGISTRATION FEES 900099 51370 51370 96131 96131 734514 177470920 97913555 -684980 55274922 33667 33667 1976648 1976648 206000 206000 5446334 4259177 1153682 33475 52287897 40523830 11446358 317709 6172469 4783747 1351217 37505 12213378 9465534 2673634 74210 3864420 2994978 845961 23481 490117 246923 242298 896 253253 253253 1526221 1526221 10751555 10009834 715370 26351 2678446 2632549 44484 1413 8099363 7148474 901705 49184 14503721 11328128 3141459 34134 35046 33272 1774 1892090 834663 1055135 2292 4198226 3560348 601931 35947 7720723 7206686 474224 39813 812031 269 811762 5419703 3531947 1858033 29723 769202 302887 465898 417 MEDICAL SUPPLIES 670940 655316 15624 DUES & FEES 280486 185902 94039 545 BAD DEBT 247480 247480 142549416 112168259 29674062 707095 4504676 5067027 1192503 1362155 29034704 23225645 6015952 5293606 205538236 86594755 124763843 118943481 102201588 150917433 449973575 463783691 0 0 3924389 4411527 721611230 773004565 31210298 26241040 44085567 47482120 7107000 4907000 84854550 83174262 19273405 20137327 186530820 181941749 X 489109761 538874799 45970649 52188017 535080410 591062816 721611230 773004565 X 34921504 18136777 2924125 X 0 1 X 1 1 1 X 20932715 21710291 22250172 23505511 24982866 113381555 78322920 82547163 92376381 96357194 97913555 447517213 99255635 104257454 114626553 119862705 122896421 560898768 17169973 18316133 19204919 19701221 22004290 96396536 0 17169973 18316133 19204919 19701221 22004290 96396536 464502232 13929408 16422749 22610724 15530238 17802170 86295289 21454 21454 13950862 16422749 22610724 15530238 17802170 86316743 77453 170003 352976 477423 576673 1654528 113283950 120850206 137590253 135870366 141275264 648870039 0.71590 0.71640 0.13300 0.13170 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MURPHY AUDITORIUM - 2020 AMOUNT: $ 16,362. 2021 AMOUNT: $ 0. 2022 AMOUNT: $ 0. 2023 AMOUNT: $ 0. 2024 AMOUNT: $ 0. COMMISSIONS - 2020 AMOUNT: $ 3,737. 2021 AMOUNT: $ 94,908. 2022 AMOUNT: $ 262,951. 2023 AMOUNT: $ 320,310. 2024 AMOUNT: $ 361,932. MISCELLANEOUS - 2020 AMOUNT: $ 47,012. 2021 AMOUNT: $ 59,755. 2022 AMOUNT: $ 55,552. 2023 AMOUNT: $ 102,388. 2024 AMOUNT: $ 147,501. REGISTRATION LISTS - 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 15,340. 2022 AMOUNT: $ 0. 2023 AMOUNT: $ 0. 2024 AMOUNT: $ 0. INVENTORY - 2020 AMOUNT: $ 10,342. 2021 AMOUNT: $ 0. 2022 AMOUNT: $ 34,473. 2023 AMOUNT: $ 54,725. 2024 AMOUNT: $ 67,240. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 1 20000 0 0 1 1338 0 0 21338 0 PART II-B, LINE 1: DESCRIPTION OF LOBBYING FOR NON-ELECTING PUBLIC CHARITIES SCHEDULE C, PART II-B: VOLUNTEERS & PAID STAFF OR MANAGEMENT LINES 1A & 1B: THE AMERICAN COLLEGE OF SURGEONS HAS VOLUNTEERS AND STAFF IN WASHINGTON D.C. WHICH, AS PART OF THEIR DUTIES FOR THE COLLEGE, ESTABLISHES CONTACTS AND MAINTAINS LIAISON WITH MEMBERS OF CONGRESS AND THEIR STAFF, GOVERNMENT AGENCIES, AND OTHER HEALTH REGULATED ORGANIZATIONS IN ORDER TO EXCHANGE INFORMATION PERTINENT TO SURGERY. TO DO THIS THEY: (1) COMMUNICATE COLLEGE VIEW ON LEGISLATION AND REGULATIONS TO STAFF AND MEMBERS OF CONGRESS THROUGH PERSONAL VISITS, TELEPHONE CONVERSATIONS, AND LETTERS. (2) ORGANIZE AND PARTICIPATE IN COALITIONS OF ORGANIZATIONS WITH RELATED LEGISLATIVE INTEREST. (3) ARRANGE AND FACILITATE MEETINGS FOR COLLEGE OFFICIALS AND MEMBERS WITH ELECTED LEGISLATORS AND STAFF. (4) ARRANGE FOR COLLEGE OFFICIALS TO PRESENT TESTIMONY AT CONGRESSIONAL HEARINGS AND DRAFT AND PRODUCE TESTIMONY AND OFFICIAL WRITTEN RESPONSES TO LEGISLATIVE PROPOSALS. MAILING TO MEMBERS, LEGISLATORS, OR THE PUBLIC LINE 1D: THE COLLEGE COMMUNICATES VIEWS ON LEGISLATION AND REGULATIONS TO STAFF AND MEMBERS OF CONGRESS THROUGH LETTERS AND DIRECT CONTACT WITH LEGISLATORS, THEIR STAFF, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY. LINE 1G: AS DISCUSSED IN LINE 1A ABOVE, THE WASHINGTON STAFF MAINTAINS LIAISONS WITH MEMBERS OF CONGRESS, THEIR STAFF, AND GOVERNMENT AGENCIES TO EXCHANGE INFORMATION PERTINENT TO SURGERY. THE MAJOR ISSUES UNDER DISCUSSION ARE RELATED TO MEDICARE FEE SCHEDULE, FUNDING FOR TRAUMA SYSTEM DEVELOPMENT, HEALTH CARE QUALITY, AND MEDICAL LIABILITY REFORM. 256944742 2063909 29683855 2757803 7777647 278157056 235520926 25666 32312280 2543838 8370292 256944742 227022729 17804 18641485 2298712 7862380 235520926 254470999 40660 -17572126 2141951 7774853 227022729 199129452 22631 64746787 1969127 7458744 254470999 0.89470 0.03550 0.06980 0 0 39350905 39350905 135225872 61093712 74132160 0 30961459 25501043 5460416 0 118943481 ALT. INV. - PRIVATE 140957115 F ALT. INV. - HEDGE FUNDS 107262903 F INTERNATIONAL EQUITY 30660756 F U.S. LARGE CAP EQUITY 50530939 F GLOBAL EQUITY 77459453 F EMERGING EQUITY 13451380 F FIXED INCOME 27352416 F ENERGY EQUITY 10151403 F ALT. INV. - COMMODITIES 5957327 F 463783691 FUNDS HELD FOR OTHERS 12840633 DUE TO AFFILIATES 7210057 OBLIGATIONS UNDER CAPITAL LEASES 86638 20137327 X PART V, LINE 4: THE ENDOWMENT FUNDS ARE INTENDED TO PROVIDE AND ENSURE THAT EDUCATION, RESEARCH, SCHOLARSHIPS, BUILDING FACILITIES, AND THE COLLEGE AS A WHOLE HAVE ENOUGH FUNDING TO LAST DURING HARD ECONOMIC TIMES, WHILE PROVIDING THE OPERATIONS OF THE COLLEGE AN ANNUAL 5% SPENDING RATE. PART V, LINE 1(E): ENDOWMENT FUNDS AND AUDITED FINANCIAL STATEMENTS THE AMOUNT REPORTED ON PART V, LINE 1(E) REPRESENTS THE 5% ANNUAL SPENDING AMOUNT THAT WAS TRANSFERRED INTO OPERATING AND SPENT TO SUPPORT THE ACS MISSION, AND THEREFORE WAS MOVED TO LINE E OTHER EXPENDITURES. PART X, LINE 2: FIN 48 (ASC 740) FOOTNOTE THE AMERICAN COLLEGE OF SURGEONS IS A TAX EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). EXCEPT FOR TAXES RELATING TO UNRELATED BUSINESS INCOME, ACS IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. THE COLLEGE DOES NOT BELIEVE THAT THERE ARE ANY UNRECOGNIZED TAX BENEFITS OR TAX LIABILITIES THAT SHOULD BE RECORDED AS OF JUNE 30, 2025 AND 2024. 1 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 INVESTMENT 22944801 NORTH AMERICA 0 0 INVESTMENT 2583382 EAST ASIA AND THE PACIFIC 0 0 GRANTMAKING 49000 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 GRANTMAKING 39000 NORTH AMERICA 0 0 GRANTMAKING 35000 SOUTH ASIA 0 0 GRANTMAKING 29000 SUB-SAHARAN AFRICA 0 0 GRANTMAKING 29000 SOUTH AMERICA 0 0 GRANTMAKING 15000 MIDDLE EAST AND NORTH AFRICA 0 0 GRANTMAKING 10000 0 0 0 0 0 0 25724183 10000 25734183 INTERNATIONAL GUEST SCHOLAR EAST ASIA AND THE PACIFIC 4 35000 WIRE RESIDENT RESEARCH SCHOLARSHIP NORTH AMERICA 1 30000 WIRE INTERNATIONAL GUEST SCHOLAR SOUTH ASIA 2 20000 WIRE INTERNATIONAL GUEST SCHOLAR EUROPE (INCLUDING ICELAND & GREENLAND) 2 20000 WIRE INTERNATIONAL SCHOLARSHIPS FOR SURGICAL EDUCATION SUB-SAHARAN AFRICA 1 15000 WIRE INTERNATIONAL SCHOLARSHIPS FOR SURGICAL EDUCATION EUROPE (INCLUDING ICELAND & GREENLAND) 1 15000 WIRE INTERNATIONAL NSQIP SCHOLARSHIP SOUTH AMERICA 1 10000 WIRE SURGICAL QUALITY IMPROVEMENT TRAINING SUB-SAHARAN AFRICA 1 10000 WIRE INTERNATIONAL GUEST SCHOLAR MIDDLE EAST AND NORTH AFRICA 1 10000 WIRE INTERNATIONAL NSQIP SCHOLARSHIP EAST ASIA AND THE PACIFIC 1 10000 WIRE ACS/ASBRS INTERNATIONAL SCHOLARSHIP SOUTH ASIA 1 5000 WIRE ACS/AAST INTERNATIONAL SCHOLARSHIP SOUTH AMERICA 1 5000 WIRE JOHN M. DALY, MD, FACS TRAVELING FELLOWSHIP NORTH AMERICA 1 5000 CHECK COMMUNITY SURGEONS TRAVEL AWARD EUROPE (INCLUDING ICELAND & GREENLAND) 1 4000 WIRE COMMUNITY SURGEONS TRAVEL AWARD EAST ASIA AND THE PACIFIC 1 4000 WIRE COMMUNITY SURGEONS TRAVEL AWARD SUB-SAHARAN AFRICA 1 4000 WIRE COMMUNITY SURGEONS TRAVEL AWARD SOUTH ASIA 1 4000 WIRE 1 0 1 1 1 0 PART I, LINE 2: PROCEDURE FOR MONITORING USE OF GRANT FUNDS INSIDE U.S. THE AMERICAN COLLEGE OF SURGEONS OFFERS VARIOUS AWARDS AND SCHOLARSHIPS EACH YEAR. EACH AWARD HAS A REQUIREMENTS BROCHURE AND SAMPLES CAN BE FOUND ON HTTPS://WWW.FACS.ORG/FOR-MEDICAL-PROFESSIONALS/PROFESSIONAL-GROWTH-AND-WEL LNESS/SCHOLARSHIPS-FELLOWSHIPS-AND-AWARDS/. THE COLLEGE HAS A SELECTION COMMITTEE WHO IS RESPONSIBLE FOR DECIDING WHO RECEIVES THESE AWARDS. AWARDEES PROVIDE A BUDGET FOR LARGER AWARDS AND ARE REQUIRED TO SUBMIT ANNUAL AND FINAL NARRATIVE AND FINANCIAL REPORTS. SMALLER AWARDS REQUIRE A NARRATIVE AND SIMPLE FINANCIAL REPORT UPON COMPLETION OF THE PROJECT. THE MEMBER SERVICES DIVISION EMPLOYS AN INTERNATIONAL LIAISON AND SCHOLARSHIPS ADMINISTRATOR TO MONITOR AND OVERSEE THIS PROGRAM. PART I, LINE 3: THE INVESTMENTS AND EXPENDITURE AMOUNTS ARE REPORTED ON AN ACCRUAL METHOD OF ACCOUNTING. PART IV: FOREIGN FORMS AMERICAN COLLEGE OF SURGEONS INVESTS IN DOMESTIC AND FOREIGN LIMITED PARTNERSHIPS AND OTHER CORPORATIONS THAT MAY OWN INTEREST IN A FOREIGN CORPORATION, PASSIVE FOREIGN INVESTMENT COMPANY, OR FOREIGN PARTNERSHIP. NEVERTHELESS, ACS'S INVESTMENT ACTIVITIES MAY NOT REACH THE THRESHOLDS REQUIRED FOR FILING FORMS 926, 5471, 8621, OR 8865. TO THE EXTENT SUCH A FORM WAS COMPLETED, IT HAS BEEN FILED WITH THE ORGANIZATION'S FORM 990-T. 1 TENNESSEE CHAPTER OF THE ACS 1740 HUDSON BRIDGE ROAD STE 1224 STOCKBRIDGE GA 30281 911943402 501(C)(6) 7000 0 SCHOLARSHIP SUPPORT 0 1 CLINICAL SCHOLARS IN RESIDENCE 6 737089 FACULTY RESEARCH SCHOLARSHIP 8 300000 RESIDENT RESEARCH SCHOLARSHIP 10 292500 CLOWES AWARD 5 225000 ACS/TRIOLOGICAL SOCIETY AWARD 3 100000 ACS/SVS FOUNDATION/NIH RESEARCH CAREER DEVELOPMENT AWARD 1 74184 HEALTH POLICY SCHOLARSHIP 15 71069 JACOBSON PROMISING INVESTIGATOR AWARD 2 60000 ACS/AMERICAN FOUNDATION FOR SURGERY OF THE HAND RESEARCH CAREER DEVELOPMENT AWARD 1 40000 MEDICAL STUDENT TRAVEL AWARD 8 16000 NIZAR N. OWEIDA, MD, FACS, SCHOLARSHIP 3 15000 INTERNATIONAL GUEST SCHOLAR 2 15000 TRAVELING FELLOWSHIP TO JAPAN 1 10000 ACS-MACLEAN CENTER SURGICAL ETHICS FELLOWSHIP 1 10000 ORGAN TRAVELING FELLOWSHIP 1 5000 GERALD B. HEALY, MD, FACS, TRAVELING MENTORSHIP FELLOWSHIP 1 3805 KANKUBEN B. GELOT SCHOLARSHIP 1 2000 PART I, LINE 2: PROCEDURE FOR MONITORING USE OF GRANT FUNDS INSIDE U.S. THE AMERICAN COLLEGE OF SURGEONS OFFERS VARIOUS AWARDS AND SCHOLARSHIPS EACH YEAR. EACH AWARD HAS A REQUIREMENTS BROCHURE AND SAMPLES CAN BE FOUND ON HTTPS://WWW.FACS.ORG/FOR-MEDICAL-PROFESSIONALS/PROFESSIONAL-GROWTH-AND-WELL ESS/SCHOLARSHIPS-FELLOWSHIPS-AND-AWARDS/. THE COLLEGE HAS A SELECTION COMMITTEE WHO IS RESPONSIBLE FOR DECIDING WHO RECEIVES THESE AWARDS. AWARDEES PROVIDE A BUDGET FOR LARGER AWARDS AND ARE REQUIRED TO SUBMIT ANNUAL AND FINAL NARRATIVE AND FINANCIAL REPORTS. SMALLER AWARDS REQUIRE A NARRATIVE AND SIMPLE FINANCIAL REPORT UPON COMPLETION OF THE PROJECT. THE MEMBER SERVICES DIVISION EMPLOYS AN INTERNATIONAL LIAISON AND SCHOLARSHIPS ADMINISTRATOR TO MONITOR AND OVERSEE THIS PROGRAM. X X X 1 1 X X X X 0 0 0 0 0 0 0 1 0 PATRICIA L TURNER EXECUTIVE DIRECTOR & CEO 1147862 0 1127 0 2196 0 298133 0 1574 0 1450892 0 0 0 AJIT SACHDEVA SVP, EDUCATION 902809 0 1098 0 3350 0 279980 0 32821 0 1220058 0 0 0 CLIFFORD KO SVP, QUALITY PROGRAMS 957768 0 1077 0 20991 0 177676 0 0 0 1157512 0 0 0 MICHELLE MCGOVERN CHIEF HR OFFICER 569740 0 1073 0 516 0 153860 0 47968 0 773157 0 0 0 PAIGE A RODGERS CFO 659632 0 533 0 792 0 71474 0 25223 0 757654 0 0 0 MICHAEL J SUTHERLAND SVP, MEMBER SERVICES 618748 0 539 0 276 0 87755 0 45836 0 753154 0 0 0 RONALD J WEIGEL MEDICAL DIRECTOR, CANCER PROGRAMS 709698 0 512 0 635 0 18789 0 19987 0 749621 0 0 0 CHRISTIAN D SHALGIAN SVP. ADVOCACY AND HEALTH 483328 0 1183 0 276 0 125362 0 47968 0 658117 0 0 0 GIRMA TEFERA MEDICAL DIRECTOR, ACS HOPE 473211 0 799 0 1524 0 137113 0 0 0 612647 0 0 0 LEWIS FLINT EDITOR OF SELECTED READINGS (THRU 06/25) 527861 0 1156 0 618 0 -332977 0 32821 0 229479 0 0 0 TIMOTHY J EBERLEIN DIRECTOR (THRU 10/24) 162500 0 0 0 0 0 0 0 0 0 162500 0 0 0 PART I, LINE 1A PER IRS REGULATIONS TRAVEL FOR COMPANIONS IS A TAXABLE EVENT. ACS WILL PROVIDE COMPENSATION TO LEADERSHIP EQUAL TO THE TAX IMPACT OF APPROVED AND REIMBURSED SPOUSE TRAVEL EXPENSES. ACS ALSO HAS A TRAVEL POLICY FOR THE PRESIDENT THAT ALLOWS FOR FIRST-CLASS TRAVEL IN SPECIAL SITUATIONS. IF BUSINESS CLASS IS NOT AVAILABLE, FIRST-CLASS TRAVEL WILL BE PERMITTED. PART I, LINE 7 DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2025, NON-FIXED BONUS PAYMENTS WERE MADE TO A NUMBER OF INDIVIDUALS LISTED WITHIN SCHEDULE J, PART II AS SHOWN IN COLUMN B(II). BONUS PAYMENTS ARE NOT CONTINGENT OF PERSONAL PERFORMANCE NOR ON THE FINANCIAL PERFORMANCE OF ACS, BUT ARE AWARDED TO ALL EMPLOYEES BASED ON THE DURATION OF TIME THAT THEY HAVE BEEN AN EMPLOYEE OF ACS. OTHER NON-FIXED PAYMENTS SUCH AS SEVERANCE ARE AVAILABLE TO THESE INDIVIDUALS LISTED, HOWEVER NO SEVERANCE PAYMENTS WERE MADE DURING THE CALENDAR YEAR. TIMOTHY J EBERLEIN BOARD MEMBER 100000 CONTRACTOR 0 TYLER G HUGHES OFFICER 63231 CONTRACTOR 0 SCHEDULE L, PART IV, LINE 1: BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: TIMOTHY J. EBERLEIN AND TYLER G. HUGHES, DIRECTOR AND FIRST VP FOR THE AMERICAN COLLEGE OF SURGEONS, PROVIDED INDEPENDENT CONTRACTOR SERVICES TO THE ORGANIZATION. THE INDEPENDENT CONTRACTOR SERVICES WITH THESE INDIVIDUALS WERE CONDUCTED AT ARM'S LENGTH AND FAIR MARKET VALUE. PLEASE REFERENCE SCHEDULE O FOR ADDITIONAL INFORMATION ON THE ACS CONFLICT OF INTEREST POLICY. X 21000 140877 COST 0 0 1 0 PART I, COLUMN (B): NUMBER OF CONTRIBUTIONS OR ITEMS CONTRIBUTED THE AMERICAN COLLEGE OF SURGERONS IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART III, LINE 3 AS OF JUNE 2025, ACS DISCONTINUED PUBLICATIONS OF SELECTED READINGS IN GENERAL SURGERY (SRGS), WHICH WERE PREVIOUSLY REFERENCED IN THE PRIOR YEAR FY2024, FORM 990 PART III PROGRAM SERVICE ACTIVITIES. THE ORGANIZATION PERIODICALLY EVALUATES ITS PROGRAM OFFERINGS TO ENSURE ALIGNMENT WITH ITS MISSION AND STRATEGIC PRIORITIES, AND RESOURCES PREVIOUSLY DEVOTED TO SRGS HAVE BEEN REDIRECTED TO OTHER EDUCATIONAL AND PROGRAMMATIC INITIATIVES. FORM 990, PART III, LINE 4A (CONTINUED FROM PART III) UNDER THE NEW STRATEGIC PLAN, THE DIVISION IS FOCUSED ON ADVANCING PATIENT-CENTERED CARE AND REVOLUTIONIZING EDUCATION THROUGH DATA-DRIVEN INSIGHTS AND INNOVATION. THE ACS QUALITY PROGRAMS ARE COMPRISED OF THREE FOCUS AREAS: 1. CANCER - THE ACS CANCER PROGRAMS PROVIDE TOOLS, RESOURCES, AND DATA THAT ENABLE CANCER PROGRAMS TO DELIVER COMPREHENSIVE, HIGH-QUALITY, MULTIDISCIPLINARY, EVIDENCE-BASED, PATIENT-CENTERED CARE. PROGRAM UPDATES: THE NATIONAL ACCREDITATION PROGRAM FOR RECTAL CANCER (NAPRC) PUBLISHED NEW STANDARDS EFFECTIVE IN JANUARY 2026. THE AMERICAN JOINT COMMITTEE ON CANCER (AJCC) STAGING ONLINE PLATFORM ADDED SEVERAL STAGING PROTOCOLS, WITH UPDATES TO THYMUS, LUNG, MESOTHELIOMA, AND NASOPHARYNX PUBLISHED IN DECEMBER 2024. RURAL ACCREDITATION: THE COMMISSION ON CANCER (COC) IS PREPARING TO WIDELY INTRODUCE A RURAL ACCREDITATION PROGRAM FOLLOWING SUCCESSFUL PILOTS IN IOWA AND KENTUCKY TO ADDRESS THE UNIQUE NEEDS OF RURAL COMMUNITIES. CONFERENCES: THE 2025 ACS CANCER CONFERENCE WAS HELD IN PHOENIX, EMPHASIZING COLLABORATION. BEGINNING IN 2026, THE CANCER CONFERENCE WILL COMBINE WITH THE QUALITY AND SAFETY CONFERENCE TO OFFER A UNIFIED EXPERIENCE. 2. TRAUMA - THE COMMITTEE ON TRAUMA (COT) AND TRAUMA PROGRAMS STAFF OVERSEE DIDACTIC AND EXPERIENTIAL TRAUMA COURSES, REGISTRIES, AND VERIFICATION PROGRAMS. EDUCATION: THE 11TH VERSION OF THE ADVANCED TRAUMA LIFE SUPPORT (ATLS) COURSE WAS RELEASED, REFINING THE TRADITIONAL MNEMONIC TO PRIORITIZE RAPID CONTROL OF EXSANGUINATING EXTERNAL HEMORRHAGE. ADDITIONALLY, A NEW ONLINE COURSE ON TRAUMATIC BRAIN INJURY (TBI) WAS LAUNCHED TO REDUCE MORTALITY RATES. STOP THE BLEED: VERSION 3 OF THE ACS STOP THE BLEED COURSE LAUNCHED IN EARLY 2025 WITH AN EMPHASIS ON VISUALS OVER WRITTEN DESCRIPTIONS; THE PROGRAM HAS NOW TRAINED MORE THAN 5.4 MILLION PEOPLE. TWO NEW BEST PRACTICES GUIDELINES WERE ADDED REGARDING THE MANAGEMENT OF GENITOURINARY INJURIES AND CHEST WALL INJURIES. A RURAL TRAUMA PROGRAM IS ALSO IN DEVELOPMENT TO ADDRESS RESOURCE LIMITATIONS IN RURAL AREAS. EVENTS: THE 2025 TQIP ANNUAL CONFERENCE IN CHICAGO DREW MORE THAN 2,100 ATTENDEES UNDER THE THEME "TEAM WORKS". 3. CONTINUOUS QUALITY IMPROVEMENT (CQI) - THE ACS CONTINUOUS QUALITY IMPROVEMENT PROGRAMS PROVIDE INFRASTRUCTURE FOR MEASURING PERFORMANCE AND CONDUCTING HEALTH SERVICES RESEARCH. THE SUITE OF PROGRAMS NOW ENCOMPASSES 13 CROSS-DISCIPLINE, CONDITION-SPECIFIC, AND POPULATION-SPECIFIC INITIATIVES. CLINICAL DATA STRATEGY: A MULTIYEAR STRATEGY WAS LAUNCHED TO TRANSFORM ACS QUALITY PROGRAMS. THE STRATEGY SEEKS TO MODERNIZE HOW ACS ACQUIRES AND CONNECTS DATA TO SUPPORT REAL-TIME INSIGHTS, PREDICTIVE ANALYTICS, AND AI-POWERED DECISION-MAKING, SHIFTING FROM RETROSPECTIVE REPORTING TO PROACTIVE INTELLIGENCE. PROGRAM ENHANCEMENTS: ACS NSQIP: NEW VERSIONS OF RISK CALCULATORS EQUIPPED WITH MACHINE LEARNING METHODOLOGY WERE RELEASED FOR NSQIP AND NSQIP PEDIATRIC. MBSAQIP: NEW STANDARDS ARE BEING PREPARED FOR JULY 2026 COMPLIANCE, AND THE BARIATRIC RISK/BENEFIT CALCULATOR IS TRANSITIONING TO MACHINE LEARNING TECHNOLOGY. GERIATRIC SURGERY VERIFICATION (GSV): A NEW LEVEL WAS ADDED TO ALLOW HOSPITALS TO COMPLY WITH THE CMS AGE FRIENDLY HOSPITAL MEASURE. NEW INITIATIVES: PUBLIC REPORTING: PHASE 1 OF THE PUBLIC REPORTING INITIATIVE WAS COMPLETED WITH THE LAUNCH OF A "FIND A HOSPITAL" SEARCH TOOL, ALLOWING PATIENTS TO IDENTIFY ACS-ACCREDITED OR VERIFIED HOSPITALS. SUSTAINABILITY: THE SURGICAL SUSTAINABILITY TEAM FOR ACTION AND INNOVATION (SUSTAIN) WAS LAUNCHED TO HELP SURGICAL TEAMS IMPLEMENT STRATEGIES THAT REDUCE ENVIRONMENTAL IMPACT WHILE MAINTAINING QUALITY. SURGICAL ADHESIONS: THE SURGICAL ADHESIONS IMPROVEMENT PROJECT PUBLISHED MANUSCRIPTS AND AWARDED GRANTS TO STUDY ADHESIVE DISEASE BIOLOGY AND PREVENTION. FORM 990, PART III, LINE 4B (CONTINUED FROM PART III) DIVISION EFFORTS INCLUDE STAFFING NUMEROUS EDUCATION COMMITTEES AND THE FOLLOWING PROGRAMS: ACS CLINICAL CONGRESS: THE ACS CLINICAL CONGRESS IS AN ANNUAL EDUCATIONAL CONFERENCE FOR SURGEONS THAT PROVIDES A COMPREHENSIVE PROGRAM OF LECTURES, PANEL SESSIONS, POSTGRADUATE COURSES, AND VIDEO-BASED EDUCATION. THE 2024 CLINICAL CONGRESS SAW A TOTAL OF 10,896 REGISTRANTS AND FEATURED 2,530 TOTAL PRESENTATIONS. NEW THEMATIC AND SPECIALTY-SPECIFIC SESSIONS WERE ADDED TO THE FIRST DAYS OF THE CONFERENCE, FOCUSING ON ARTIFICIAL INTELLIGENCE (AI), NEUROSURGERY, VASCULAR SURGERY, CARDIOTHORACIC SURGERY, EDUCATION, AND QUALITY. THE PROGRAM ALSO INCLUDED A SECOND "GREAT DEBATE" SESSION AND INCREASED INTERDISCIPLINARY ACTIVITIES TO BRING TOGETHER SURGEONS FROM DIVERSE DISCIPLINES. DURING THE 2024 CONVOCATION HELD AT THE CONGRESS, 1,894 NEW FELLOWS FROM 74 COUNTRIES WERE INITIATED. SURGICAL EDUCATION AND SELF-ASSESSMENT PROGRAM (SESAP): THIS IS A PREMIER SELF-ASSESSMENT AND EDUCATIONAL RESOURCE PROMOTING EXCELLENCE AND EXPERTISE FOR PRACTICING SURGEONS. THE DIVISION CONTINUES TO EXPAND THE TYPES OF CME CREDITS OFFERED THROUGH SESAP TO ADDRESS A VARIETY OF REGULATORY MANDATES. ACS ACADEMY OF MASTER SURGEON EDUCATORS: THIS PROGRAM FOCUSES ON ADVANCING SURGICAL EDUCATION AND THE CAREERS OF SURGEON EDUCATORS. THE ACADEMY S MEMBERSHIP HAS GROWN TO NEARLY 400, INCLUDING 74 MEMBERS INDUCTED DURING THE 2024 CEREMONY. AT CLINICAL CONGRESS 2024, THE ACADEMY PRESENTED SPECIAL SESSIONS ON RECENT ADVANCES IN SURGICAL EDUCATION AND THE VALUE OF THE ACADEMY ACROSS SURGICAL SPECIALTIES. ACCREDITED EDUCATION INSTITUTES (AEI): THE AEI PROGRAM INCLUDES 95 INSTITUTES GLOBALLY THAT FOCUS ON SIMULATION-BASED ACTIVITIES FOR LEARNERS AT ALL LEVELS AND SURGICAL TEAMS. THE ANNUAL SURGEONS AND ENGINEERS MEETING, HELD IN COLLABORATION WITH THE DIVISION OF EDUCATION, CONTINUES TO FORGE PARTNERSHIPS TO ADVANCE THE FIELD OF SURGICAL SIMULATION. FORM 990, PART III, LINE 4C (CONTINUED FROM PART III) KEY PROGRAMMATIC EFFORTS INCLUDE: MEMBERSHIP AND COMMUNITY ENGAGEMENT: THE DIVISION MANAGES A DIVERSE COMMUNITY OF 66,225 FELLOWS AND A GROWING COHORT OF MEDICAL STUDENTS AND SURGICAL RESIDENTS. CHAPTER SUPPORT AND GLOBAL OUTREACH: THE DIVISION STRENGTHENS A NETWORK OF DOMESTIC AND INTERNATIONAL CHAPTERS BY PROVIDING OPERATIONAL STRATEGIES AND PERFORMANCE METRICS TO ENSURE LOCAL SURGICAL COMMUNITIES THRIVE. THE INTERNATIONAL RELATIONS COMMITTEE OVERSEES SCHOLARSHIPS THAT ENABLE INTERNATIONAL SURGEONS TO VISIT NORTH AMERICAN ACADEMIC INSTITUTIONS AND PARTICIPATE IN MAJOR EDUCATIONAL MEETINGS. LEADERSHIP DEVELOPMENT AND GOVERNANCE: THE DIVISION SUPPORTS THE BOARD OF GOVERNORS, WHICH ACTS AS A VITAL COMMUNICATION LINK BETWEEN THE FELLOWSHIP AND THE BOARD OF REGENTS. THROUGH 18 WORKGROUPS ORGANIZED INTO SIX STRATEGIC PILLARS, THE BOARD OF GOVERNORS ADDRESSES CRITICAL ISSUES SUCH AS HEALTHCARE LEGISLATION, SURGICAL QUALITY, AND INCLUSIVE EXCELLENCE. CAREER-STAGE SUPPORT: SPECIALIZED GROUPS, INCLUDING THE RESIDENT AND ASSOCIATE SOCIETY (RAS) AND THE YOUNG FELLOWS ASSOCIATION (YFA), REPRESENT THE UNIQUE INTERESTS OF EARLY-CAREER SURGEONS. THESE GROUPS OFFER MENTORSHIP PROGRAMS, SUCH AS THE MENTOR TRIAD PROGRAM, AND PROFESSIONAL DEVELOPMENT COURSES LIKE "RESIDENTS AS TEACHERS AND LEADERS". SCHOLARSHIPS AND AWARDS: DEMONSTRATING ITS COMMITMENT TO THE FUTURE OF THE PROFESSION AND GLOBAL SURGICAL CARE, THE DIVISION ADMINISTERS MORE THAN $2 MILLION IN ANNUAL SCHOLARSHIPS TO SUPPORT SURGICAL RESEARCH, EDUCATION, AND INTERNATIONAL EXCHANGE. FORM 990, PART VI, SECTION A, LINE 1A MATERIAL DIFFERENCES IN VOTING RIGHTS ACCORDING TO ARTICLE V, SECTION 2, SUBPARAGRAPH (A) OF THE BYLAWS, IT STATES "DURING THE INTERVALS BETWEEN MEETINGS OF THE BOARD OF REGENTS, THE EXECUTIVE COMMITTEE SHALL EXERCISE THE POWERS OF THE BOARD OF REGENTS IN THE MANAGEMENT AND DIRECTION OF THE BUSINESS AND THE CONDUCT OF THE AFFAIRS OF THE COLLEGE, EXCEPT THAT IT SHALL NOT HAVE POWER TO ELECT FELLOWS; AMEND THE BYLAWS; OR REGULATE FEES, DUES, OR ASSESSMENTS. IT SHALL KEEP A RECORD OF ITS PROCEEDINGS AND SHALL, AFTER EACH MEETING, REPORT THE SAME TO THE REGENTS FOR APPROVAL AT THE NEXT SUCCEEDING MEETING OF THE BOARD OF REGENTS." FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS THE 990 FORMS ARE COMPLETED BY THE ACS ACCOUNTING DEPARTMENT AND REVIEWED BY OUTSIDE TAX PROFESSIONALS. ONCE OUTSIDE TAX PROFESSIONALS REVIEW AND RECOMMEND CHANGES, THE ACCOUNTING DEPARTMENT FINALIZES THE 990 FORMS. THE ACS CFO REVIEWS AND SIGNS THE FORMS AND ACS ACCOUNTING DEPARTMENT PROVIDES A COPY OF THE RETURN TO THE BOARD OF DIRECTORS. THE ACS ACCOUNTING DEPARTMENT THEN FILES THE RETURN WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENT THE COLLEGE HAS CONFLICTS OF INTEREST POLICIES FOR EMPLOYEES AND BOARD MEMBERS. LEADERSHIP IS REQUIRED TO SIGN A DISCLOSURE STATEMENT EACH YEAR, WHICH ARE COLLECTED AND DISSEMINATED BY THE CHIEF FINANCIAL OFFICER'S OFFICE. THERE IS ALSO AN ACS CONFLICTS OF INTEREST COMMITTEE THAT MEETS PERIODICALLY AS THE NEED ARISES TO DISCUSS ISSUES THAT RELATE TO CONFLICTS OF INTEREST. THE COMMITTEE ACCOUNTS FOR THE RECEIPT OF DISCLOSURE STATEMENTS AND FOLLOWS UP ON ANY ISSUES. THIS INFORMATION IS THEN REPORTED TO THE ACS FINANCE COMMITTEE OF THE BOARD OF REGENTS. IF THE ACS FINANCE COMMITTEE FEELS THERE ARE CONFLICTS THAT ARE QUESTIONABLE IN NATURE, THEY ARE REPORTED TO THE ACS BOARD OF REGENTS CHAIR AND TREASURER FOR ACTION. THE BOARD OF REGENTS EXECUTIVE COMMITTEE SHALL TAKE ACTION ON ANY PRESUMED OR POTENTIAL VIOLATION OF THIS POLICY BY A MEMBER OF LEADERSHIP TO ENSURE THAT A CONFLICT OF INTEREST DOES NOT ARISE OR DOES NOT CONTINUE. IN ADDITION TO ANY LEGAL PENALTIES, SUCH ACTION MAY INCLUDE, BUT SHALL NOT BE LIMITED TO, ORAL ADMONISHMENT, WRITTEN REPRIMAND, RESIGNATION, AND RESTITUTION. A MEMBER WHO DISAGREES WITH THE FINDINGS OR RECOMMENDATIONS OF THE FINANCE COMMITTEE OR THE ACTION OF THE BOARD OF REGENTS EXECUTIVE COMMITTEE MAY APPEAL THE DECISION TO THE BOARD OF REGENTS. FORM 990, PART VI, SECTION B, LINE 15 PROCESS FOR DETERMINING COMPENSATION THE COLLEGE HAS POLICIES AND PROCEDURES CONCERNING COMPENSATION INCREASES, PERFORMANCE EVALUATIONS, AND JOB EVALUATIONS. IN ADDITION, MERIT INCREASES ARE INCLUDED AS A BUDGET PARAMETER FOR REVIEW BY THE FINANCE COMMITTEE AS IS THE ADDITION OF ANY NEW EMPLOYEE OR HUMAN RESOURCE BENEFIT PROPOSAL. THE COLLEGE HAS AN EXECUTIVE COMPENSATION COMMITTEE AS A SUBCOMMITTEE TO THE FINANCE COMMITTEE. THE COMMITTEE IS COMPRISED OF THE BOARD OF REGENTS CHAIR, BOARD OF REGENTS TREASURER, BOARD OF GOVERNORS SECRETARY, AND A MEMBER OF THE FINANCE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE'S PURPOSE IS AS FOLLOWS: TO ESTABLISH PROCEDURES TO CREATE A "REBUTTABLE PRESUMPTION OF REASONABLENESS" IN CONNECTION WITH IRS INTERMEDIATE SANCTIONS REGULATIONS. RESPONSIBILITIES ARE TO ENSURE THAT COMPENSATION FOR EACH "DISQUALIFIED PERSON" IS REASONABLE. HUMAN RESOURCES PROVIDES COMPARABILITY DATA TO THE COMMITTEE IN THE FORM OF SURVEYS, OTHER SIMILAR ORGANIZATIONS, GEOGRAPHICAL COMPARISONS, AND ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS FOR THE SERVICES OF A DISQUALIFIED PERSON. THE COMMITTEE DOCUMENTS THE BASIS FOR ALL COMPENSATION DETERMINATIONS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS MADE AVAILABLE TO PUBLIC THE BYLAWS ARE AVAILABLE ON THE AMERICAN COLLEGE OF SURGEONS' WEBSITE. THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: PENSION ADJUSTMENT 5,332,278. CHANGE IN FUNDS HELD FOR OTHERS -2,551,280. OVER ACCRUAL TAX ADJUSTMENT 41,148. REFUNDED GRANTS ADJUSTMENT 101,979. AMERICAN COLLEGE OF SURGEONS PROF ASSOC 633 N SAINT CLAIR STREET CHICAGO IL 60611 300079883 ED IN SURGERY IL 501(C)(6) ACS 1 ACSPA SURGEONS PAC 633 N SAINT CLAIR STREET CHICAGO IL 60611 141849039 POLITICAL ACT IL 501(C)(27) ACSPA 1 AMERICAN COLLEGE OF SURGEONS FOUNDATION 633 N SAINT CLAIR STREET CHICAGO IL 60611 300305504 SURGICAL EDU IL 501(C)(3) LINE 7 ACS 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 AMERICAN COLLEGE OF SURGEONS PROF ASSOC C 19631632 COST AMERICAN COLLEGE OF SURGEONS PROF ASSOC M 3172903 COST AMERICAN COLLEGE OF SURGEONS PROF ASSOC O 251616 COST AMERICAN COLLEGE OF SURGEONS PROF ASSOC Q 788355 COST AMERICAN COLLEGE OF SURGEONS FOUNDATION C 372658 COST