FOUNDATION FORSURGICAL FELLOWSHIPS: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- FOUNDATION FORSURGICAL FELLOWSHIPS (EIN 27-1615075)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-14
- IRS object ID
- 202443199349317299
- Schema version
- 2023v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-14T19:57:54-05:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 854210366 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOORE GOLD & ASSOCIATES INC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 23945 CALABASAS RD SUITE 214 | AddressLine1Txt |
| City | CALABASAS | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91302 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 271615075 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE FOUNDATION FOR SURGICAL | BusinessNameLine1Txt |
| Business Name Line2 | FELLOWSHIPS | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FOUN | BusinessNameControlTxt |
| Phone | 3104370581 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11300 W OLYMPIC BLVD 600 | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90064 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK A TALAMINI | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 3104370581 | PhoneNum |
| Signature | 2024-11-05 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | false | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL E MOORE CPA | PreparerPersonNm |
| PTIN | P00731510 | PTIN |
| Phone | 8182221040 | PhoneNum |
| Preparation | 2024-11-05 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARK A TALAMINI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11300 W OLYMPIC BLVD STE 600 | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90064 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $481,445 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://WWW.SURGICALFELLOWSHIPS.ORG/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2010 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | FUND HIGH QUALITY FELLOWSHIPS IN VARIOUS AREAS OF SURGERY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| CY Contributions Grants | $480,862 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| CY Investment Income | $583 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| CY Total Revenue | $481,445 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $920,000 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| CY Other Expenses | $278,148 | CYOtherExpensesAmt |
| CY Total Expenses | $1,198,148 | CYTotalExpensesAmt |
| CY Revenues Less Expenses | -$716,703 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $958,050 | TotalAssetsBOYAmt |
| Total Assets EOY | $239,201 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,146 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $955,904 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $239,201 | NetAssetsOrFundBalancesEOYAmt |
| Mission | FUND HIGH QUALITY FELLOWSHIPS IN VARIOUS AREAS OF SURGERY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,086,517 | ExpenseAmt |
| Grant | $920,000 | GrantAmt |
| Desc | FUND FELLOWSHIP TRAINING IN MINAMALLY INVASIVE SURGERY. | Desc |
| Total Program Service Expenses | $1,086,517 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | false | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | false | ConflictOfInterestPolicyInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BSC MANAGEMENT | PersonNm |
| Phone | 3104370581 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11300 W OLYMPIC BLVD STE 600 | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90064 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| MARK A TALAMINI | ||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| STEVEN SCHWAITZBERG | ||||||
| VICE PRESIDE | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| CAITLIN HALBERT | ||||||
| SEC/TREASURE | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| SEAN ORESTEIN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ALICE WEI | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DANA TELEM | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BSC MANAGEMENT INC | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11300 W OLYMPIC BLVD SUITE 600 | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90064 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | MANAGEMENT | ServicesDesc |
| Compensation | $213,333 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Membership Dues | $1,236 | MembershipDuesAmt |
| All Other Contributions | $479,626 | AllOtherContributionsAmt |
| Total Contributions | $480,862 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $583 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $583 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $481,445 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $583 | RelatedOrExemptFuncIncomeAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $920,000 | TotalAmt |
| Program Services | $920,000 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $213,333 | TotalAmt |
| Program Services | $160,000 | ProgramServicesAmt |
| Management And General | $53,333 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,084 | TotalAmt |
| Management And General | $45,084 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $642 | TotalAmt |
| Management And General | $642 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,090 | TotalAmt |
| Management And General | $1,090 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,110 | TotalAmt |
| Program Services | $1,582 | ProgramServicesAmt |
| Management And General | $528 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| EVENTS | $6,580 | $4,935 | $1,645 |
| WEBSITE | $5,000 | $5,000 | |
| POSTAGE | $2,850 | $2,850 | |
| TELEPHONE | $888 | $888 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $571 | TotalAmt |
| Management And General | $571 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,198,148 | TotalAmt |
| Program Services | $1,086,517 | ProgramServicesAmt |
| Management And General | $111,631 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$79,866 | BOYAmt |
| EOY | -$39,381 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,012,916 | BOYAmt |
| EOY | $253,582 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,000 | BOYAmt |
| EOY | $25,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $958,050 | BOYAmt |
| EOY | $239,201 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,146 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,146 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $955,904 | BOYAmt |
| EOY | $239,201 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $955,904 | BOYAmt |
| EOY | $239,201 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $958,050 | BOYAmt |
| EOY | $239,201 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$716,703 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,996,375 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,444,775 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,485,560 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,089,405 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $480,862 | CurrentTaxYearAmt |
| Total | $10,496,977 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,996,375 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,444,775 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,485,560 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,089,405 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $480,862 | CurrentTaxYearAmt |
| Total | $10,496,977 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $10,496,977 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $937 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $664 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $558 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,108 | CurrentTaxYearMinus1YearAmt |
| Total | $3,267 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $10,500,244 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $583 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99970 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99970 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (79 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| ABINGTON MEMORIAL HOSPITAL | |||||||
| 1200 OLD YORK ROAD | ABINGTON | PA | 19001 | 231352152 | $10,000 | FMV | GENERAL SUPPORT |
| ADVENT HEALTH | |||||||
| 3000 MEDICAL PARK DRIVE | TAMPA | FL | 33613 | $10,000 | FMV | GENERAL SUPPORT | |
| ADVENT HEALTH MEDICAL GROUP | |||||||
| 3000 MEDICAL PARK DRIVE | TAMPA | FL | 33613 | $10,000 | FMV | GENERAL SUPPORT | |
| ADVOCATE CHARITABLE FOUNDATIO | |||||||
| 836 W WELLINGTON AVE | CHICAGO | IL | 60657 | $10,000 | FMV | GENERAL SUPPORT | |
| ADVOCATE LUTHERAN GENERAL HOS | |||||||
| 1775 W DEMPSTER ST | PARK RIDGE | IL | 60068 | 362169147 | $10,000 | FMV | GENERAL SUPPORT |
| ALBANY MEDICAL COLLEGE | |||||||
| 50 NEW SCOTLAND AVE MC-194 | ALBANY | NY | 12208 | 141338310 | $10,000 | FMV | GENERAL SUPPORT |
| ALSA MEDICAL GROUP | |||||||
| 205 E RIVER PARK CIRCLE | FRESNO | CA | 93720 | $10,000 | FMV | GENERAL SUPPORT | |
| ATRIUM HEALTH FOUNDATION | |||||||
| 208 EAST BLVD | CHARLOTTE | NC | 28203 | 566060481 | $10,000 | FMV | GENERAL SUPPORT |
| ATRIUM HEALTH FOUNDATION & HP | |||||||
| 1025 MOREHEAD MEDICAL DRIVE | CHARLOTTE | NC | 28204 | $10,000 | FMV | GENERAL SUPPORT | |
| BARIATRIC AND METABOLIC SPECI | |||||||
| 5100 W 110TH STREET | OVERLAND PARK | KS | 66211 | $10,000 | FMV | GENERAL SUPPORT | |
| BOARD OF REGENTS UNIV OF WISC | |||||||
| 21 N PARK STREET SUITE 6401 | MADISON | WI | 53715 | 396006492 | $10,000 | FMV | GENERAL SUPPORT |
| BRIGHAM AND WOMENS HOSPITAL | |||||||
| 75 FRANCIS ST | BOSTON | MA | 02115 | 042312909 | $10,000 | FMV | GENERAL SUPPORT |
| BROWN SURGICAL ASSOCIATES | |||||||
| 75 NEWMAN AVE 2ND FLOOR | RUMFORD | RI | 02916 | $10,000 | FMV | GENERAL SUPPORT | |
| CARILLION CLINIC DEPT OF SURG | |||||||
| 1906 BELLEVIEW AVE 1 WEST | ROANOKE | VA | 24014 | $10,000 | FMV | GENERAL SUPPORT | |
| CAROLINAS MEDICAL CENTER | |||||||
| 208 EAST BOULEVARD | CHARLOTTE | NC | 28203 | 561398929 | $10,000 | FMV | GENERAL SUPPORT |
| CEDARS SINAI MEDICAL CENTER | |||||||
| 8635 W 3RD STREET 650-W | LOS ANGELES | CA | 90048 | 951644600 | $10,000 | FMV | GENERAL SUPPORT |
| CLEVELAND CLINIC | |||||||
| 2950 CLEVELAND CLINIC BLVD | WESTON | FL | 33331 | 650003177 | $20,000 | FMV | GENERAL SUPPORT |
| CLEVELAND CLINIC | |||||||
| 9500 EUCLID AVE M61 | CLEVELAND | OH | 44195 | $30,000 | FMV | GENERAL SUPPORT | |
| DARTMOUTH HITCHCOCK MEDICAL | |||||||
| DEPT OF SURGERY 1 MEDICAL CENTER D | LEBANON | NH | 03756 | 020222111 | $10,000 | FMV | GENERAL SUPPORT |
| DUKE UNIVERSITY | |||||||
| 1525 WEST WT HARRIS BLVD 2C2 | CHARLOTTE | NC | 28262 | 560532129 | $10,000 | FMV | GENERAL SUPPORT |
| EMORY UNIVERSITY | |||||||
| 1365 CLIFTON ROAD | ATLANTA | GA | 30322 | 580566256 | $10,000 | FMV | GENERAL SUPPORT |
| FRANCISCAN HEALTHCARE FOUNDAT | |||||||
| 1215 HADLEY ROAD SUITE 201 | MOORESVILLE | IN | 46158 | 352093392 | $10,000 | FMV | GENERAL SUPPORT |
| FSCMGALTA BATES SUMMIT | |||||||
| 365 HAWTHORNE AVE 101 | OAKLAND | CA | 94609 | $10,000 | FMV | GENERAL SUPPORT | |
| GEISINGER MEDICAL CENTER | |||||||
| DEPT OF SURGERY 100 N ACADEMY AVE | DANVILLE | PA | 17822 | 240795959 | $10,000 | FMV | GENERAL SUPPORT |
| GUNDERSEN LUTHERAN MEDICAL | |||||||
| 1836 SOUTH AVE CO3-006A | LA CROSSE | WI | 54601 | 391249705 | $10,000 | FMV | GENERAL SUPPORT |
| HACKENSACK UNIVERSITY MEDICAL | |||||||
| 343 THORNALL ST 7TH FLOOR | EDISON | NJ | 08837 | 223376459 | $10,000 | FMV | GENERAL SUPPORT |
| INDIANA UNIVERSITY | |||||||
| 545 BARNHILL DR EH100 | INDIANAPOLIS | IN | 46202 | 202981280 | $20,000 | FMV | GENERAL SUPPORT |
| INOVA MEDICAL GROUP | |||||||
| 3300 GALLOWS ROAD | FALLS CHURCH | VA | 22042 | 540620889 | $10,000 | FMV | GENERAL SUPPORT |
| INSTITUTE FOR CLINICAL RESEAR | |||||||
| DC VA MEDICAL CENTER DEPT OF SURGE | WASHINGTON | DC | 20422 | $10,000 | FMV | GENERAL SUPPORT | |
| JACKSON SOUTH COMMUNITY HOSPI | |||||||
| 1611 NW 12TH AVE | MIAMI | FL | 33136 | 274322939 | $20,000 | FMV | GENERAL SUPPORT |
| JOHNS HOPKINS UNIVERSITY | |||||||
| 4940 EASTERN AVE | BALTIMORE | MD | 21224 | 520595110 | $10,000 | FMV | GENERAL SUPPORT |
| LAHEY HOSPITAL & MEDICAL | |||||||
| 41 MALL ROAD | BURLINTON | MA | 01805 | 042704686 | $10,000 | FMV | GENERAL SUPPORT |
| LANKENAU MEDICAL CENTER | |||||||
| 100 LANCASTER AVE | WYNNEDWOOD | PA | 19096 | 231352160 | $10,000 | FMV | GENERAL SUPPORT |
| LOMA LINDA UNIVERSITY | |||||||
| 24887 TAYLOR ST SUITE 202 | LOMA LINDA | CA | 92354 | 951816009 | $10,000 | FMV | GENERAL SUPPORT |
| MASSACHUSETTS GENERAL HOSPITA | |||||||
| DEPARTMENT OF SURGERY | BOSTON | MA | 02114 | 041564655 | $10,000 | FMV | GENERAL SUPPORT |
| MAYO CLINIC ARIZONA | |||||||
| 5881 E MAYO BLVD PHX CB | PHOENIX | AZ | 85054 | 860800150 | $10,000 | FMV | GENERAL SUPPORT |
| MAYO CLINIC FLORIDA | |||||||
| 4500 SAN PABLO RD | JACKSONVILLE | FL | 32224 | 593337028 | $10,000 | FMV | GENERAL SUPPORT |
| MEDICAL COLLEGE OF WISCONSIN | |||||||
| DEPT OF SURGERY | MILWAUKEE | WI | 53226 | 390806261 | $10,000 | FMV | GENERAL SUPPORT |
| METHODIST DALLAS AT RICHARDSO | |||||||
| 2821 E PRESIDENT GEORGE BUSH | RICHARDSON | TX | 75082 | 750800661 | $10,000 | FMV | GENERAL SUPPORT |
| MONTEFIORE MEDICAL CENTER | |||||||
| 3400 BAINBRIDGE AVE | BRONX | NY | 10467 | 131740114 | $10,000 | FMV | GENERAL SUPPORT |
| NORTH SHORE UNIVERSITY HOSPIT | |||||||
| THE FEINSTEIN INST GMO/753 | MT LAUREL | NJ | 08054 | 111562701 | $10,000 | FMV | GENERAL SUPPORT |
| NORTHSHORE UNIVERSITY HEALTH SYSTEM | |||||||
| 2650 RIDGE AVE TOOM B665 | EVANSTON | IL | 60201 | $10,000 | FMV | GENERAL SUPPORT | |
| NORTHWEST HOSPITAL | |||||||
| 5401 OLD COURT RD | RANDALLSTOWN | MD | 21133 | $10,000 | FMV | GENERAL SUPPORT | |
| OHSU | |||||||
| 3181 SW SAM JACKSON PARK | PORTLAND | OR | 97239 | $10,000 | FMV | GENERAL SUPPORT | |
| ONE SURGICAL SPECIALISTS | |||||||
| 90 PROSPECT AVE | HACKENSACK | NJ | 07601 | $10,000 | FMV | GENERAL SUPPORT | |
| ORLANDO HEALTH | |||||||
| 86 W UNDERWOOD ST | ORLANDO | FL | 32806 | 591726273 | $10,000 | FMV | GENERAL SUPPORT |
| PENN STATE HERSHEY MEDICAL | |||||||
| 500 UNIVERSITY DRIVE | HERSHEY | PA | 17033 | 246000376 | $10,000 | FMV | GENERAL SUPPORT |
| PRISMA HEALTH | |||||||
| 605 GROVE ROAD CLEMSON | GREENVILLE | SC | 29605 | $10,000 | FMV | GENERAL SUPPORT | |
| PROVIDENCE PORTLAND MEDICAL | |||||||
| 4805 NE GLISAN ST | PORTLAND | OR | 97228 | 930386906 | $20,000 | FMV | GENERAL SUPPORT |
| READING HOSPITAL FOUNDATION | |||||||
| 301 S SEVENTH AVE SUITE 235 | WEST READING | PA | 19612 | $10,000 | FMV | GENERAL SUPPORT | |
| RECTOR & VISITORS UNIV VIRGIN | |||||||
| OFFICE OF SPONSORED PROGRAMS | CHARLOTTESVILLE | VA | 22904 | 546001796 | $10,000 | FMV | GENERAL SUPPORT |
| STANFORD UNIVERSITY | |||||||
| PO BOX 44253 | SAN FRANCISCO | CA | 94144 | 941156365 | $20,000 | FMV | GENERAL SUPPORT |
| STONY BROOK SURGICAL ASSOC | |||||||
| STONY BROOK SURGICAL ASSOC | STONY BROOK | NY | 11794 | 112552333 | $10,000 | FMV | GENERAL SUPPORT |
| SWEDISH FOUNDATION | |||||||
| 1124 COLUMBIA ST | SEATTLE | WA | 98122 | 910983214 | $20,000 | FMV | GENERAL SUPPORT |
| THE CURATORS OF THE UNIV OF MISSOUR | |||||||
| 115 BUSINESS LOOP | COLUMBIA | MO | 65211 | $10,000 | FMV | GENERAL SUPPORT | |
| THE OHIO STATE UNIVERSITY | |||||||
| 395 W 12TH AVE STE 680 | COLUMBUS | OH | 43210 | $20,000 | FMV | GENERAL SUPPORT | |
| THE REGENTS OF THE UNIV OF CA IRVIN | |||||||
| 120 THEORY STE 200 ZOT | IRVINE | CA | 92697 | 946036494 | $10,000 | FMV | GENERAL SUPPORT |
| THE SUMMA FOUNDATION | |||||||
| 95 ARCH ST STE 240 | AKRON | OH | 44304 | 341887844 | $10,000 | FMV | GENERAL SUPPORT |
| THE UNIVERSITY OF IOWA | |||||||
| 200 HAWKINS DRIVE | IOWA CITY | IA | 52242 | 426004813 | $10,000 | FMV | GENERAL SUPPORT |
| UC REGENTS | |||||||
| 513 PARNASSUS AVE U372 | SAN FRANCISCO | CA | 94143 | $10,000 | FMV | GENERAL SUPPORT | |
| UNC DEPARTMENT OF SURGERY | |||||||
| 4012A BURNETT-WOMACK BLDG | CHAPEL HILL | NC | 27599 | 566001393 | $10,000 | FMV | GENERAL SUPPORT |
| UNIV HOSPITALS CLEVELEND MED | |||||||
| 11100 EUCLID AVE | CLEVELAND | OH | 44106 | 900059117 | $20,000 | FMV | GENERAL SUPPORT |
| UNIV OF ALABAMA AT BIRMINGHAM | |||||||
| 1720 2ND AVE | BIRMINGHAM | AL | 35294 | 636005396 | $10,000 | FMV | GENERAL SUPPORT |
| UNIV OF ARIZONA | |||||||
| 1501 N CAMPBELL AVE | TUCSON | AZ | 85724 | 742652689 | $20,000 | FMV | GENERAL SUPPORT |
| UNIV OF MARYLAND SURGICAL ASS | |||||||
| 22 SOUTH GREENE STREET | BALTIMORE | MD | 21201 | 521557551 | $10,000 | FMV | GENERAL SUPPORT |
| UNIV OF MIAMI SPONSOR PROGRAMS | |||||||
| 1120 NW 14 STREET | MIAMI | FL | 33136 | 590624458 | $10,000 | FMV | GENERAL SUPPORT |
| UNIV OF PITTSBURGH PHYSICIANS | |||||||
| 128 NORTH CRAIG ST 107 PARK | PITTSBURGH | PA | 15260 | 208295721 | $20,000 | FMV | GENERAL SUPPORT |
| UNIV OF SOUTH FLORIDA | |||||||
| PO BOX 864568 | ORLANDO | FL | 32886 | 237313346 | $10,000 | FMV | GENERAL SUPPORT |
| UNIV OF TENNESSEE GRAD SCHOOL | |||||||
| 1924 ALCOA HWY | KNOXVILLE | TN | 37920 | 626001636 | $10,000 | FMV | GENERAL SUPPORT |
| UNIV OF WASHINGTON | |||||||
| UNIVERSITY OF WASHINGTON GRAN | CHICAGO | IL | 60693 | 916001537 | $10,000 | FMV | GENERAL SUPPORT |
| UT HEALTH SCIENCE HOUSTON | |||||||
| 6431 FANNIN ST MSB6 284B | HOUSTON | TX | 77030 | $10,000 | FMV | GENERAL SUPPORT | |
| UT SOUTHWESTERN MEDICAL CNTR | |||||||
| 5323 HARRY HINES BLVD 5010 | DALLAS | TX | 75390 | 756002868 | $10,000 | FMV | GENERAL SUPPORT |
| VANDERBILT UNIV SCHOOL OF MED | |||||||
| 1501 N PLANO RD SUITE 100 | RICHARDSON | TX | 75081 | 620476822 | $10,000 | FMV | GENERAL SUPPORT |
| VIRGINIA COMMONWEALTH UNIV | |||||||
| 1200 E BROAD ST 16TH FLOOR | RICHMOND | VA | 23298 | 546001758 | $10,000 | FMV | GENERAL SUPPORT |
| VIRGINIA MASON MEDICAL CENNTER | |||||||
| 1218 TERRY AVE | SEATTLE | WA | 98101 | 911351110 | $10,000 | FMV | GENERAL SUPPORT |
| WAKE FOREST UNIV HEALTH SCIENCES | |||||||
| MEDICAL CENTER BLVD | WINSTON SALEM | NC | 27157 | 510190238 | $10,000 | FMV | GENERAL SUPPORT |
| WASHINGTON UNIVERSITY | |||||||
| 700 ROSEDALE AVE | ST LOUIS | MO | 63112 | 430653611 | $20,000 | FMV | GENERAL SUPPORT |
| WEILL CORNELL MEDICINE | |||||||
| 1300 YORK AVE | NEW YORK | NY | 10065 | 131623978 | $10,000 | FMV | GENERAL SUPPORT |
| YALE | |||||||
| 150 MUNSON ST 3RD FLOOR | NEW HAVEN | CT | 06520 | 060646973 | $10,000 | FMV | GENERAL SUPPORT |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | NO REVIEW WAS OR WILL BE CONDUCTED. |
| FORM 990, PAGE 6, PART VI, LINE 19 | NO DOCUMENTS AVAILABLE TO THE PUBLIC |