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      <Form990PartVIISectionAGrp>
        <PersonNm>ELAINE LEIGHTON</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HAZEL ORELUK</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CATHERINE POWERS</PersonNm>
        <TitleTxt>DEVELOPMENT SENIOR MGR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALENA FREY</PersonNm>
        <TitleTxt>DIRECTOR OF EDUCATION &amp; ME</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JESSICA DORNFELD</PersonNm>
        <TitleTxt>DIRECTOR OF MARKETING &amp; MEMBERSHIP</TitleTxt>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>CHARLES L SALTZMAN</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>590 WAKARA WAY</AddressLine1Txt>
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            <StateAbbreviationCd>UT</StateAbbreviationCd>
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        </ContractorAddress>
        <ServicesDesc>JOURNAL EDITOR</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
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      <ProgramServiceRevenueGrp>
        <Desc>MEMBERSHIP DUES</Desc>
        <BusinessCd>561000</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>1089349</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>561000</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>866619</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>EXHIBIT INCOME</Desc>
        <BusinessCd>561000</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>745855</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>ADVERTISING INCOME</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>71600</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>18900</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>52700</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>2773423</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>84241</TotalRevenueColumnAmt>
        <ExclusionAmt>84241</ExclusionAmt>
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      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>1215849</TotalRevenueColumnAmt>
        <ExclusionAmt>1215849</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>1958798</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>1962945</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-4147</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-4147</TotalRevenueColumnAmt>
        <ExclusionAmt>-4147</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>WEBSITE</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>7375</TotalRevenueColumnAmt>
        <ExclusionAmt>7375</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>IFFAS MANAGEMENT FEE</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>6000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6000</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>2838</TotalRevenueColumnAmt>
        <ExclusionAmt>2838</ExclusionAmt>
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      <OtherRevenueTotalAmt>16213</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>5912169</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>52700</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1306156</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>892091</TotalAmt>
        <ProgramServicesAmt>892091</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
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      <PensionPlanContributionsGrp>
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        <FundraisingAmt>8432</FundraisingAmt>
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        <ProgramServicesAmt>924</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23280</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>91152</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>8177</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>6335</ProgramServicesAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>51133</ProgramServicesAmt>
        <ManagementAndGeneralAmt>129802</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>62704</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>160391</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>215406</ProgramServicesAmt>
        <ManagementAndGeneralAmt>68983</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>9342</ProgramServicesAmt>
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        <ProgramServicesAmt>138473</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10850</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>8634</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>3909594</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1631983</ManagementAndGeneralAmt>
        <FundraisingAmt>182258</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>454969</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>79541</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
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        <EOYAmt>117093</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>17394</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>236718</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>52474</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>2634368</EOYAmt>
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        <EOYAmt>22312</EOYAmt>
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      <OtherAssetsTotalGrp>
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        <EOYAmt>364911</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>3979780</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>190547</EOYAmt>
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      <GrantsPayableGrp>
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        <EOYAmt>174760</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>352457</EOYAmt>
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        <EOYAmt>342579</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>568701</BOYAmt>
        <EOYAmt>1060343</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>156578</EOYAmt>
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        <EOYAmt>2919437</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>3979780</EOYAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
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        <CurrentTaxYearAmt>1826590</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus2YearsAmt>6077</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8822</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>10212</CurrentTaxYearAmt>
        <TotalAmt>32147</TotalAmt>
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      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus1YearAmt>5762379</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5912168</CurrentTaxYearAmt>
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      <PublicSupportPY509Pct>0.71210</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.23910</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.24980</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MAILING LISTS - 2018 AMOUNT: $ 3,000. 2019 AMOUNT: $ 3,750. MISCELLANEOUS - 2019 AMOUNT: $ 286. 2020 AMOUNT: $ 6,077. 2021 AMOUNT: $ 8,822. 2022 AMOUNT: $ 10,212.</ExplanationTxt>
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        <ContributorBusinessName>
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        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
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          <State>RESTRICTED</State>
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    <IRS990ScheduleI documentId="RetDoc1041900001">
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      <RecipientTable>
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          <BusinessNameLine1Txt>NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED &amp; CRIPPLED MAINTAINING THE HOSP</BusinessNameLine1Txt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>UNIVERSITY OF PITTSBURGH PHYSICIANS</BusinessNameLine1Txt>
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      <RecipientTable>
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      <RecipientTable>
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          <CityNm>ATLANTA</CityNm>
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          <BusinessNameLine1Txt>MASSACHUSETTS GENERAL HOSPITAL (FOOT &amp; ANKLE)--</BusinessNameLine1Txt>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
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          <BusinessNameLine1Txt>ORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS RESEARCH &amp; EDUCATION INSTITUTE</BusinessNameLine1Txt>
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          <StateAbbreviationCd>MI</StateAbbreviationCd>
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      <RecipientTable>
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          <CityNm>RENO</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
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      <RecipientTable>
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          <BusinessNameLine1Txt>(THE) CLEVELAND CLINIC FOUNDATION</BusinessNameLine1Txt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>(THE) PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE</BusinessNameLine1Txt>
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      <RecipientTable>
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          <CityNm>SOUTHFIELD</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
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      <RecipientTable>
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          <CityNm>LOS ANGELES</CityNm>
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      <RecipientTable>
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          <CityNm>PASADENA</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
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          <AddressLine1Txt>TROY WATSON MD</AddressLine1Txt>
          <CityNm>HENDERSON</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
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          <CityNm>TEMPLE TERRACE</CityNm>
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          <CityNm>CHARLESTON</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
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          <AddressLine1Txt>125 PARKER HILL AVE</AddressLine1Txt>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
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        <PurposeOfGrantTxt>2022 FELLOWSHIP GRANT</PurposeOfGrantTxt>
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          <CityNm>PROVIDENCE</CityNm>
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          <CityNm>PHILADELPHIA</CityNm>
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          <ZIPCd>19107</ZIPCd>
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        <RecipientEIN>880278047</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10952</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2022 FELLOWSHIP GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RUSH UNIVERSITY MEDICAL CENTER-</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1611 W HARRISON ST</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60612</ZIPCd>
        </USAddress>
        <RecipientEIN>232919472</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10953</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2022 FELLOWSHIP GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>STANLEY GRAVES MD PC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3104 E CAMELBACK 1003</AddressLine1Txt>
          <CityNm>PHOENIX</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85016</ZIPCd>
        </USAddress>
        <RecipientEIN>042103612</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10952</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2022 FELLOWSHIP GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>STATE UNIVERSITY OF IOWA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>UNIVERSITY OF IOWA GRANT ACCOUNTING</AddressLine1Txt>
          <CityNm>IOWA CITY</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>52242</ZIPCd>
        </USAddress>
        <RecipientEIN>362174823</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10953</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2022 FELLOWSHIP GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>STEADMAN PHILIPPON RESEARCH INSTITUTE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>181 WEST MEADOW DRIVE</AddressLine1Txt>
          <CityNm>VAIL</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81657</ZIPCd>
        </USAddress>
        <RecipientEIN>546001796</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10952</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2022 FELLOWSHIP GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE RECTOR AND VISITORS OF THE UNIVERSITY OF VIRGINIA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 400195</AddressLine1Txt>
          <CityNm>CHARLOTTESVILLE</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>229044195</ZIPCd>
        </USAddress>
        <RecipientEIN>951644600</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10953</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2022 FELLOWSHIP GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TWIN CITIES ORTHOPEDICS FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4010 WEST 65TH STREET</AddressLine1Txt>
          <CityNm>EDINA</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55435</ZIPCd>
        </USAddress>
        <RecipientEIN>364852171</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10952</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2022 FELLOWSHIP GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF ROCHESTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>601 ELMWOOD AVE</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14620</ZIPCd>
        </USAddress>
        <RecipientEIN>134233998</RecipientEIN>
        <IRCSectionDesc>OTHER</IRCSectionDesc>
        <CashGrantAmt>10953</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2022 FELLOWSHIP GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF UTAH ORTHOPAEDIC CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>590 WAKARA WAY</AddressLine1Txt>
          <CityNm>SLC</CityNm>
          <StateAbbreviationCd>UT</StateAbbreviationCd>
          <ZIPCd>84108</ZIPCd>
        </USAddress>
        <RecipientEIN>576000722</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10952</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2022 FELLOWSHIP GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ALLEGHENY HEALTH NETWORK</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1307 FEDERAL STREET</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15212</ZIPCd>
        </USAddress>
        <RecipientEIN>042312909</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10455</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2022 FELLOWSHIP GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>9400 W HIGGINS RD NO 500</AddressLine1Txt>
          <CityNm>ROSEMONT</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60018</ZIPCd>
        </USAddress>
        <RecipientEIN>362110592</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>HEALTH POLICY GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EMORY UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 935084</AddressLine1Txt>
          <CityNm>ATLANTA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>31193</ZIPCd>
        </USAddress>
        <RecipientEIN>620548038</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>RESEARCH GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PENNSYLVANIA STATE UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>201 OLD MAIN</AddressLine1Txt>
          <CityNm>UNIVERSITY PARK</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16802</ZIPCd>
        </USAddress>
        <RecipientEIN>246000376</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>19400</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>RESEARCH GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ORTHOCAROLINA RESEARCH INSTITUTE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2001 VAIL AVENUE SUITE 300</AddressLine1Txt>
          <CityNm>CHARLOTTE</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28207</ZIPCd>
        </USAddress>
        <RecipientEIN>591923401</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15300</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>RESEARCH GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE FEINSTEIN INSTITUTES FOR MED RES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>350 COMMUNITY DR</AddressLine1Txt>
          <CityNm>MANHASSET</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11030</ZIPCd>
        </USAddress>
        <RecipientEIN>112673595</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>RESEARCH GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OTTAWA HOSPITAL RESEARCH INSTITUTE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <ForeignAddress>
          <AddressLine1Txt>1053 CARLING AVE</AddressLine1Txt>
          <CityNm>OTTAWA</CityNm>
          <ProvinceOrStateNm>ONTARIO</ProvinceOrStateNm>
          <CountryCd>CA</CountryCd>
          <ForeignPostalCd>K1Y 4E9</ForeignPostalCd>
        </ForeignAddress>
        <RecipientEIN>980454111</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20044</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>RESEARCH GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MERCY HEALTH FOUNDATION-</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>14528 S OUTER 40 SUITE 100</AddressLine1Txt>
          <CityNm>CHESTERFIELD</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63017</ZIPCd>
        </USAddress>
        <RecipientEIN>200901499</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>19800</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>RESEARCH GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CEDARS-SINAI MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>8700 BEVERLY BLVD</AddressLine1Txt>
          <CityNm>LOS ANGELES</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>90048</ZIPCd>
        </USAddress>
        <RecipientEIN>951644600</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>RESEARCH GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF CHICAGO</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5235 S HARPER COURTH 4TH FLOOR</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60615</ZIPCd>
        </USAddress>
        <RecipientEIN>362177139</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>8044</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>RESEARCH GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>40</Total501c3OrgCnt>
      <TotalOtherOrgCnt>6</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>RESEARCH GRANT APPLICATIONS ARE SOLICITED FROM THE AOFAS MEMBERSHIP FOR GRANTS UP TO $50,000. GRANT RECIPIENTS ARE TO SUBMIT INTERIM AND FINAL REPORTS ON THEIR RESEARCH PROJECTS. PAST GRANT RECIPIENTS ARE SURVEYED ANNUALLY FOR INFORMATION ON THEIR PRESENTATIONS, PUBLICATIONS, AND AWARDS RELATED TO THE FUNDED RESEARCH. THE RONALD AND WENDY SMITH CLINICAL RESEARCH GRANTS FUNDS PROJECTS UP TO $25,000 PER GRANT CYCLE. GRANTS ARE OFFERED FOR PROSPECTIVE RESEARCH STUDIES OF HIGH CLINICAL IMPORTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELAINE LEIGHTON</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>399181</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>27000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>25473</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>451654</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CATHERINE POWERS</PersonNm>
        <TitleTxt>DEVELOPMENT SENIOR MGR</TitleTxt>
        <BaseCompensationFilingOrgAmt>127480</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19719</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10935</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>158134</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS EIGHT CLASSES OF MEMBERS: ACTIVE, ALLIED HEALTH/ASSOCIATE - BASIC SCIENCES, EMERITUS, CANDIDATE, SURGEON IN TRAINING, INTERNATIONAL, INTERNATIONAL SURGEON IN TRAINING, MD AFFILIATE, AND HONORARY. ACTIVE MEMBERS ARE ALLOWED TO VOTE, HOLD ELECTED OFFICE POSITIONS, AND SERVE ON COMMITTEES. CANDIDATE AND INTERNATIONAL MEMBERS ARE ALLOWED TO SERVE ON COMMITTEES BUT ARE NOT ELIGIBLE TO VOTE OR HOLD ELECTED OFFICE POSITIONS. ALLIED HEALTH/ASSOCIATE - BASIC SCIENCES, SURGEON IN TRAINING, EMERITUS, AND INTERNATIONAL SURGEON IN TRAINING MEMBERS ARE ALLOWED TO SERVE ON SELECT COMMITTEES AND HOLD AN EX-OFFICIO POSITION, BUT CAN NOT VOTE OR HOLD AN ELECTED OFFICE POSITION. ALL OTHER CLASSES OF MEMBERS ARE NOT ELIGIBLE TO VOTE, HOLD AN ELECTED OFFICE POSITION, OR SERVE ON COMMITTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>A NOMINATING COMMITTEE IS ELECTED BY MEMBERSHIP. MEMBERS ARE INVITED TO PROVIDE INPUT TO THE NOMINATING COMMITTEE. THE NOMINATING COMMITTEE PRESENTS ITS SLATE FOR OFFICERS AND DIRECTORS ON THE BOARD. AT THE ANNUAL BUSINESS MEETING THERE IS A CALL FOR NOMINATIONS FROM THE FLOOR. ELECTIONS ARE HELD AND BALLOTS ARE COUNTED BY TELLERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERSHIP APPROVES REVISIONS TO THE BYLAWS. THE BOARD APPROVES NEW MEMBERS OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS GIVEN TO EACH MEMBER OF THE BOARD OF DIRECTORS FOR THEIR REVIEW. THE BOARD OF DIRECTORS APPROVES THE FORM 990 AT A BOARD MEETING BEFORE THE FORM 990 IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATIONS PRACTICE FOR MONITORING PROPOSED OR ONGOING TRANSACTIONS FOR CONFLICTS OF INTEREST AND DEALING WITH POTENTIAL OR ACTUAL CONFLICTS OF INTEREST IS THAT IF A POTENTIAL CONFLICT OF INTEREST ARISES, IT IS DISCLOSED BY USING THE AOFAS DISCLOSURE FORM. THE BOARD OF DIRECTORS AND OTHER KEY LEADERS COMPLETE AN ANNUAL ENHANCED DISCLOSURE FORM FOR REVIEW BY THE COMMITTEE ON OUTSIDE INTERESTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR HAS AN ANNUAL REVIEW BY THE EXECUTIVE COMMITTEE OF THE BOARD. THE EXECUTIVE DIRECTOR'S COMPENSATION IS COMPARED TO DATA ON COMPENSATION OF EXECUTIVE DIRECTORS WITH COMPARABLE POSITIONS AT SIMILAR ORGANIZATIONS. THE EXECUTIVE DIRECTOR HAS A SIGNED LETTER OF AGREEMENT WITH AOFAS THAT DEFINES THE COMPENSATION FOR DEFINED PERIODS OF TIME AND ELIGIBILITY FOR A BONUS. A BONUS IS GIVEN ON DECISION OF THE EXECUTIVE COMMITTEE BASED ON THE ANNUAL REVIEW, IS REPORTED TO THE BOARD BY THE PRESIDENT, AND IS DOCUMENTED IN WRITING TO THE EXECUTIVE DIRECTOR BY THE PRESIDENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THESE DOCUMENTS ARE MADE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. IT DOES NOT MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PEO PAYROLL SERVICES: PROGRAM SERVICE EXPENSES 183,243. MANAGEMENT AND GENERAL EXPENSES 104,087. FUNDRAISING EXPENSES 26,280. TOTAL EXPENSES 313,610. JOURNAL EDITING AND PUBLISHING: PROGRAM SERVICE EXPENSES 273,793. MANAGEMENT AND GENERAL EXPENSES 5,980. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 279,773. PATIENT EDUCATION VIDEO PRODUCTION: PROGRAM SERVICE EXPENSES 120. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 120. EVENT MANAGEMENT: PROGRAM SERVICE EXPENSES 62,440. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 62,440. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 78,076. MANAGEMENT AND GENERAL EXPENSES 35,481. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 113,557.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ORTHOPAEDIC FOOT &amp; ANKLE FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>9400 WEST HIGGINS ROAD SUITE 220</AddressLine1Txt>
          <CityNm>ROSEMONT</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60018</ZIPCd>
        </USAddress>
        <EIN>300234329</EIN>
        <PrimaryActivitiesTxt>RESEARCH &amp; EDUCATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AOFAS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ORTHOPAEDIC FOOT &amp; ANKLE FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>1181803</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
