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FOUNDATION FORSURGICAL FELLOWSHIPS: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
FOUNDATION FORSURGICAL FELLOWSHIPS (EIN 27-1615075)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-15
IRS object ID
202233199349326438
Schema version
2021v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-15T15:06:48-08:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN770608797PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FINANCIAL SPECIALISTS INCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15743 CORSA AVE STE 218AddressLine1Txt
CityWESTLAKE VILLAGECityNm
State AbbreviationCAStateAbbreviationCd
ZIP91362ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN271615075EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Foundation for Surgical FellowshipsBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFOUNBusinessNameControlTxt
Phone3104370581PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111300 W Olympic Blvd 600AddressLine1Txt
CityLos AngelesCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90064ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMark A TalaminiPersonNm
Person TitlePresidentPersonTitleTxt
Signature2022-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMark APersonFirstNm
Person LastTalaminiPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMichael E Moore CPAPreparerPersonNm
PTINP00731510PTIN
Phone8185840000PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

US Address USAddress

FieldValueIRS element (for citing)
Address Line111300 W Olympic Blvd 600AddressLine1Txt
CityLos AngelesCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90064ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,500,979GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttp://www.surgicalfellowships.org/WebsiteAddressTxt
Formation2010FormationYr
Activity Or MissionFUND HIGH QUALITY FELLOWSHIPS IN VARIOUS AREAS OF SURGERY.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers6TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$2,491,674PYContributionsGrantsAmt
CY Contributions Grants$2,489,221CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$664PYInvestmentIncomeAmt
CY Investment Income$558CYInvestmentIncomeAmt
PY Other Revenue$11,300PYOtherRevenueAmt
CY Other Revenue$11,200CYOtherRevenueAmt
PY Total Revenue$2,503,638PYTotalRevenueAmt
CY Total Revenue$2,500,979CYTotalRevenueAmt
PY Grants And Similar Paid$2,390,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,140,784CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$421,232PYOtherExpensesAmt
CY Other Expenses$416,806CYOtherExpensesAmt
PY Total Expenses$2,811,232PYTotalExpensesAmt
CY Total Expenses$2,557,590CYTotalExpensesAmt
PY Revenues Less Expenses-$307,594PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$56,611CYRevenuesLessExpensesAmt
Total Assets BOY$2,136,470TotalAssetsBOYAmt
Total Assets EOY$1,824,859TotalAssetsEOYAmt
Total Liabilities BOY$933,500TotalLiabilitiesBOYAmt
Total Liabilities EOY$678,500TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,202,970NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,146,359NetAssetsOrFundBalancesEOYAmt
MissionFUND HIGH QUALITY FELLOWSHIPS IN VARIOUS AREAS OF SURGERY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$2,399,163ExpenseAmt
DescFUND FELLOWSHIP TRAINING IN MINAMALLY INVASIVE SURGERY.Desc
Total Program Service Expenses$2,399,163TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyfalseMinutesOfGoverningBodyInd
Minutes Of CommitteesfalseMinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnfalseAnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcfalseRegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBSC MANAGEMENTPersonNm
Phone3104370581PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111300 W OLYMPIC BLVD STE 600AddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90064ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
STEVEN SCHWAITZBERG
Vice President1.000.00Yes (X)$0$0$0
Alice Wei
Director1.000.00Yes (X)$0$0$0
Sean Orestein
Director1.000.00Yes (X)$0$0$0
Caitlin Halbert
Director1.000.00Yes (X)$0$0$0
Dana Telem
Director1.000.00Yes (X)$0$0$0
Mark A Talamini
President1.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$2,489,221AllOtherContributionsAmt
Total Contributions$2,489,221TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$558TotalRevenueColumnAmt
Related Or Exempt Func Income$558RelatedOrExemptFuncIncomeAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescApplication Funding FeeDesc
Business900099BusinessCd
Total Revenue Column$11,200TotalRevenueColumnAmt
Related Or Exempt Func Income$11,200RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$11,200OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,500,979TotalRevenueColumnAmt
Related Or Exempt Func Income$11,758RelatedOrExemptFuncIncomeAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,140,784TotalAmt
Program Services$2,140,784ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$320,000TotalAmt
Program Services$240,000ProgramServicesAmt
Management And General$80,000ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$13,669TotalAmt
Management And General$13,669ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,400TotalAmt
Program Services$7,400ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$701TotalAmt
Management And General$701ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,867TotalAmt
Management And General$4,867ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
FUNDRAISING ADMINISTRATION$30,000$30,000
WEBSITE$15,000$15,000
EVENTS$10,228$2,557$7,671
Postage and Shipping$7,373$7,373

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$7,568TotalAmt
Program Services$3,308ProgramServicesAmt
Management And General$4,260ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,557,590TotalAmt
Program Services$2,399,163ProgramServicesAmt
Management And General$158,427ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,124,471BOYAmt
EOY$813,051EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,011,249BOYAmt
EOY$1,011,808EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$750BOYAmt
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

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EOY$0EOYAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

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EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,136,470BOYAmt
EOY$1,824,859EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$933,500BOYAmt
EOY$678,500EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$933,500BOYAmt
EOY$678,500EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,202,970BOYAmt
EOY$1,146,359EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,202,970BOYAmt
EOY$1,146,359EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,136,470BOYAmt
EOY$1,824,859EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$56,611ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,178,751CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,743,150CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,996,375CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,444,775CurrentTaxYearMinus1YearAmt
Current Tax Year$2,485,560CurrentTaxYearAmt
Total$13,848,611TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,178,751CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,743,150CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,996,375CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,444,775CurrentTaxYearMinus1YearAmt
Current Tax Year$2,485,560CurrentTaxYearAmt
Total$13,848,611TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$13,848,611PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$909CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$910CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$937CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$664CurrentTaxYearMinus1YearAmt
Current Tax Year$558CurrentTaxYearAmt
Total$3,978TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$13,852,589TotalSupportAmt
Gross Receipts Rltd Activities$59,000GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99970PublicSupportCY170Pct
Public Support PY1700.99970PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (95 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescPurpose Of GrantPurposeOfGrantTxt
Abington Memorial Hospital
1200 Old York RoadAbingtonPA19001231352152$20,000$0FMVGeneral Support
ADVANCED GIMIS FELLOWSHIP
330 BROOKLINE AVEBOSTONMA02215$10,000$0FMVGeneral Support
Advent Health
3000 Medical Park DriveTampaFL33613$50,000$0FMVGeneral Support
ADVOCATE CHARITABLE FOUNDATIO
1100 W MONTROSE UNIT 707CHICAGOIL60613$20,000$0FMVGeneral Support
Advocate Lutheran General Hos
1775 W Dempster StPark RidgeIL60068362169147$20,000$0FMVGeneral Support
Albany Medical College
47 New Scotland Ave MC61AlbanyNY12208141338310$20,000$0FMVGeneral Support
ALSA Medical Group
205 E River Park CircleFresnoCA93720$20,000$0FMVGeneral Support
Atrium Health Foundation
208 EAST BLVDCHARLOTTENC28203566060481$50,000$0FMVGeneral Support
Baystate Medical Center
759 Chestnut StreetSpringfieldMA01199042790311$20,000$0FMVGeneral Support
Beth Israel Deaconess Medical
330 Brookline AveBostonMA02215042103881$10,000$0FMVGeneral Support
Board of Regents Univ of Wisc
21 N Park Street Suite 6401MadisonWI53715396006492$20,000$0FMVGeneral Support
Brigham and Womens Hospital
116 HUNTINGTON AVE 3RD FLOORBostonMA02116042312909$20,000$0FMVGeneral Support
BROWN SURGICAL ASSOCIATES
75 NEWMAN AVE 2ND FLOORRUMFORDRI02916$10,000$0FMVGeneral Support
CARILLION CLINIC DEPT OF SURG
1906 BELLEVIEW AVE 1 WESTROANOKEVA24014$20,000$0FMVGeneral Support
Carolinas Medical Center
208 East BoulevardCharlotteNC28203561398929$10,000$0FMVGeneral Support
Cayuna Regional Medical Cente
320 East Main StreetCrosbyMN56441410879376$20,000$0FMVGeneral Support
Cedars Sinai Medical Center
8635 W 3rd Street 650-WLos AngelesCA90048951644600$10,000$0FMVGeneral Support
Cleveland Clinic
2950 Cleveland Clinic BlvdWestonFL33331650003177$70,000$0FMVGeneral Support
Dartmouth Hitchcock Medical
Department of SurguryLebanonNH03756020222111$20,000$0FMVGeneral Support
Duke University
1525 West WT Harris BlvdCharlotteNC28262560532129$30,000$0FMVGeneral Support
Emory University
1365 Clifton RoadAtlantaGA30322580566256$20,000$0FMVGeneral Support
Epic Care
365 Hawthorne AveOaklandCA94609$10,000$0FMVGeneral Support
Fox Chase Cancer Center
333 Cottman AvePhiladelphiaPA19111232003072$20,000$0FMVGeneral Support
Franciscan Healthcare Foundat
1215 Hadley Road Suite 201MooresvilleIN46158352093392$20,000$0FMVGeneral Support
FSCMGALTA BATES SUMMIT
365 HAWTHORNE AVE 101OAKLANDCA94609$10,000$0FMVGeneral Support
Geisinger Medical Center
Department of SurguryDanvillePA17822240795959$20,000$0FMVGeneral Support
Gundersen Lutheran Medical
1836 South AvenueLa CrosseWI54601391249705$20,000$0FMVGeneral Support
Hackensack University Medical
90 Prospect Ave Suite 1DHACHENSACKNJ07601223376459$40,000$0FMVGeneral Support
Icahn School of Medicine
Department of SurguryNew YorkNY10029136171197$20,000$0FMVGeneral Support
Indiana University
PO Box 78000 Dept 78867DetroitMI48278202981280$40,000$0FMVGeneral Support
Inova Medical Group
3300 Gallows RoadFalls ChurchVA22042540620889$20,000$0FMVGeneral Support
INSTITUTE FOR CLINICAL RESEAR
DEPARTMENT OF SURGURYWASHINGTONDC20422$20,000$0FMVGeneral Support
Jackson South Community Hospi
9195 Sunset DriveMiamiFL33173274322939$30,000$0FMVGeneral Support
Johns Hopkins University
4940 Eastern AveBaltimoreMD21224520595110$20,000$0FMVGeneral Support
Lahey Hospital & Medical
41 Mall RoadBurlintonMA01805042704686$20,000$0FMVGeneral Support
Lankenau Medical Center
100 Lancaster AveWynnedwoodPA19096231352160$20,000$0FMVGeneral Support
Loma Linda University
24887 Taylor St Suite 202Loma LindaCA92354951816009$20,000$0FMVGeneral Support
Massachusetts General Hospita
Department of SurgeryBostonMA02114041564655$20,000$0FMVGeneral Support
Mayo Clinic Arizona
5881 E MAYO BLVD PHX CBPHOENIXAZ85054860800150$30,000$0FMVGeneral Support
Mayo Clinic Florida
4500 San Pablo RdJacksonvilleFL32224593337028$10,000$0FMVGeneral Support
Medical College of Wisconsin
8701 Watertown Plank RoadMilwaukeeWI53226$10,000$0FMVGeneral Support
Medical College of Wisconsin
Dept of SurgeryMilwaukeeWI53226390806261$20,000$0FMVGeneral Support
Menorah Medical Center
5100 W 110th Street 110Overland ParkKS66211$10,000$0FMVGeneral Support
Methodist Dallas at Richardso
2831 E President George BushRichardsonTX75082750800661$30,000$0FMVGeneral Support
Montefiore Medical Center
3400 Bainbridge AveBronxNY10467131740114$20,000$0FMVGeneral Support
Mount Sinai St Lukes
440 W 114TH ST 5TH FLOORNew YorkNY10025131624096$20,000$0FMVGeneral Support
MRMC Foundation
2831 E President George BushRichardsonTX75082$10,000$0FMVGeneral Support
North Shore University Hospit
125 Community DriveGreat NeckNY11021111562701$60,000$0FMVGeneral Support
NYU LANGONE HEALTH
700 HICKSVILLE ROADBETHPAGENY11714$10,000$0FMVGeneral Support
Ohio State University
395 W 12th Ave Ste 680ColumbusOH43210$40,000$0FMVGeneral Support
OHSU
3181 SW Sam Jackson ParkPortlandOR97239$20,000$0FMVGeneral Support
Orlando Health
86 W Underwood StOrlandoFL32806591726273$30,000$0FMVGeneral Support
Our Lady of the Lake Physicia
7777 Hennessy Blvd Ste 612Baton RougeLA70808720423651$10,000$0FMVGeneral Support
Penn State Hershey Medical
500 University DriveHersheyPA17033246000376$20,000$0FMVGeneral Support
PRISMA HEALTH
605 GROVE ROAD CLEMSONGREENVILLESC29605$20,000$0FMVGeneral Support
Providence Portland Medical
4805 NE Glisan StPortlandOR97228930386906$40,000$0FMVGeneral Support
READING HOSPITAL FOUNDATION
301 S SEVENTH AVE SUITE 235WEST READINGPA19612$10,000$0FMVGeneral Support
Rector & Visitors Univ Virgin
Office of Sponsored ProgramsCharlottesvilleVA22904546001796$20,000$0FMVGeneral Support
St Lukes University & Health
Development OfficeBethlehemPA18015232384282$10,000$0FMVGeneral Support
Stanford University
Falk Vardiovascular ResearchStanfordCA94305941156365$40,000$0FMVGeneral Support
Stony Brook Surgical Assoc
Stony Brook Surgical AssocStony BrookNY11794112552333$20,000$0FMVGeneral Support
Summa Foundation
Summa Foundation FundAkronOH44304341887844$20,000$0FMVGeneral Support
Swedish Foundation
747 Broadway 10th FloorSeatlleWA98122910983214$60,000$0FMVGeneral Support
The Brigham & Womans HSPT
1620 Tremont Street BC-4-020RBostonMA02120$10,000$0FMVGeneral Support
Thomas Jefferson Univ Hospita
Dept of SurgeryPhiladelphiaPA19107232829095$20,000$0FMVGeneral Support
UC Regents
Dept of SurgerySacramentoCA95817$30,000$0FMVGeneral Support
UNC Department of Surgery
4012A Burnett-Womack BldgChapel HillNC27599566001393$20,000$0FMVGeneral Support
Univ Hospitals Clevelend Med
11100 Euclid AveClevelandOH44106900059117$60,000$0FMVGeneral Support
Univ of Alabama at Birmingham
Dept of SurgeryBirminghamAL35294636005396$20,000$0FMVGeneral Support
Univ of Arizona
1501 N Campbell AveTucsonAZ85724742652689$20,000$0FMVGeneral Support
Univ of CA San Diego
9444 Medical Center DriveLa JollaCA92037$20,000$0FMWGeneral Support
Univ of Maryland Surgical Ass
22 South Greene StreetBaltimoreMD21201521557551$20,000$0FMVGeneral Support
Univ of Massachusetts
BURSARS OFFICE S1-802WORCHESTERMA01655956006144$20,000$0FMVGeneral Support
Univ of Miami Miller School
1120 NW 14 StreetMiamiFL33136590624458$20,000$0FMVGeneral Support
Univ of Missouri
115 Business LoopColumbiaMO65211$30,000$0FMVGeneral Support
Univ of Nebraska Medical Cntr
Sponsored Programs AccountingOmahaNE68198470049123$10,000$0FMVGeneral Support
Univ of Pittsburgh Med Center
3380 Blvd of the AlliesPittsburghPA15213208295721$40,000$0FMVGeneral Support
Univ of Tennessee
1924 Alcoa HwyKnoxvilleTN37920626001636$20,000$0FMVGeneral Support
Univ of Texas HSC
6431 Fannin StreetHoustonTX77030741761309$10,000$0FMVGeneral Support
Univ of Texas HSC Houston
6431 Fannin StreetHoustonTX77030$20,000$0FMVGeneral Support
Univ of Texas Medical School
6560 Fannin Street 1404HoustonTX77030741761309$20,000$0FMVGeneral Support
Univ of Washington
University of Washington GranChicagoIL60693916001537$20,000$0FMVGeneral Support
University of Ca Irvine
Contracts and GrantsIrvineCA92697946036494$10,784$0FMVGeneral Support
University of Iowa
200 Hawkins DriveIowa CityIA52242426004813$20,000$0FMVGeneral Support
University of Surgical Assoc
75 Newman Ave 2nd FloorRumfordRI02916050389803$10,000$0FMVGeneral Support
UT Health Science Houston
6431 Fannin St MSB6 284BHoustonTX77030$30,000$0FMVGeneral Support
UT Southwestern Medical Cntr
5323 Hary Hines Blvd 5010DallasTX75390756002868$10,000$0FMVGeneral Support
Vanderbilt Univ School of Med
1501 N Plano Rd Suite 100RichardsonTX75081620476822$10,000$0FMVGeneral Support
Virginia Commonwealth Univ
1200 E Broad St 16th FloorRichmondVA23298546001758$30,000$0FMVGeneral Support
Virginia Mason Foundation
1218 Terry AveSeattleWA98101911351110$20,000$0FMVGeneral Support
Wake Forest Baptist Medical
Medical Center BlvdWinstonsalemNC27157510190238$20,000$0FMVGeneral Support
Washingont University
700 Rosedale AveSt LouisMO63112430653611$40,000$0FMVGeneral Support
Weill Cornell Medical College
Office of External AffairsNew YorkNY10065131623978$20,000$0FMVGeneral Support
Westchester Medical Center
100 Woods RdValhallaNY10595133964321$20,000$0FMVGeneral Support
Winthrop Univ Hospital
Finance DeptBethpageNY11714111633486$20,000$0FMVGeneral Support
FieldValueIRS element (for citing)
Total501c3 Org73Total501c3OrgCnt
Total Other Org22TotalOtherOrgCnt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review ProcessNo review was or will be conducted.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableNo documents available to the public.