AMERICAN SOCIETY FOR RECONSTRUCTIVE MICROSURGERY: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- AMERICAN SOCIETY FOR RECONSTRUCTIVE MICROSURGERY (EIN 35-1620863)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-08-29
- IRS object ID
- 201802419349300505
- Schema version
- 2017v2.3
- 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 | 2018-08-29T08:24:48-05:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 370265152 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ESTES BRIDGEWATER & OGDEN | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 S SECOND ST | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62704 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351620863 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMERICAN SOCIETY FOR RECONSTRUCTIVE | BusinessNameLine1Txt |
| Business Name Line2 | MICROSURGERY INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | AMER | BusinessNameControlTxt |
| Phone | 3124569579 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20 NORTH MICHIGAN AVE STE 700 | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60602 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID W CHANG MD | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 3124569579 | PhoneNum |
| Signature | 2018-08-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LORI K MILOSEVICH | PreparerPersonNm |
| PTIN | P00626782 | PTIN |
| Phone | 2175288473 | PhoneNum |
| Preparation | 2018-08-17 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DAVID W CHANG MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20 NORTH MICHIGAN AVE STE 700 | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60602 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $775,919 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MICROSURG.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1987 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | TO EDUCATE MEMBERS ABOUT RECONSTRUCTIVE MICROSURGICAL METHODS AND PRINCIPLES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 140 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $151,392 | PYContributionsGrantsAmt |
| CY Contributions Grants | $237,103 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $516,394 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $533,437 | CYProgramServiceRevenueAmt |
| PY Investment Income | $566 | PYInvestmentIncomeAmt |
| CY Investment Income | $231 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,070 | PYOtherRevenueAmt |
| CY Other Revenue | $5,148 | CYOtherRevenueAmt |
| PY Total Revenue | $670,422 | PYTotalRevenueAmt |
| CY Total Revenue | $775,919 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | 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 |
| PY Other Expenses | $597,930 | PYOtherExpensesAmt |
| CY Other Expenses | $704,942 | CYOtherExpensesAmt |
| PY Total Expenses | $597,930 | PYTotalExpensesAmt |
| CY Total Expenses | $704,942 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $72,492 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $70,977 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,580,860 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,733,888 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $496,406 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $466,113 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,084,454 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,267,775 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO EDUCATE MEMBERS ABOUT RECONSTRUCTIVE MICROSURGICAL METHODS AND PRINCIPLES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $511,575 | ExpenseAmt |
| Desc | ASRM PROVIDES A FORUM FOR TEACHING, RESEARCH, AND FREE DISCUSSION ON RECONSTRUCTIVE MICROSURGICAL METHODS AND PRINCIPLES AMONG ITS MEMBERS. THERE WERE 576 ATTENDEES AT THE ANNUAL MEETING. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MICROSURGERY FELLOWSHIP MATCH SERVICE PROVIDES ASSISTANCE TO THE MATCHING OF MICROSURGERY FELLOWSHIP PROGRAMS AND NEW STUDENTS READY TO ENTER A FELLOWSHIP. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $511,575 | 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 |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| 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 | false | 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 With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| 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 | Yes (true) | ScheduleORequiredInd |
| IRP Document | 2 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| 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 |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | 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 | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PETER KUHN | PersonNm |
| Phone | 8479347181 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1320 SHADOW LAKE TERRACE | AddressLine1Txt |
| City | PALATINE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60074 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| GUENTER GERMANN MD | ||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| LIZA WU MD | ||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DAVID W CHANG MD | ||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| CHARLES E BUTLER MD | ||||||
| IMMED PAST P | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JOSEPH J DISA MD | ||||||
| PRESIDENT-EL | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| LAWRENCE J GOTTLIEB MD | ||||||
| VICE PRESIDE | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| BERNARD LEE MD | ||||||
| TREASURER-EL | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MICHAEL MILLER MD | ||||||
| SR MEMBERS-A | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JULIE PARK MD | ||||||
| SR MEMBERS-A | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BAUBACK SAFA MD | ||||||
| JR MEMBERS-A | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SAMIR MARDINI MD | ||||||
| JR MEMBERS-A | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DAVID MATHES MD | ||||||
| HISTORIAN | 1.00 | Yes (X) | 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 |
| Membership Dues | $168,050 | MembershipDuesAmt |
| All Other Contributions | $69,053 | AllOtherContributionsAmt |
| Total Contributions | $237,103 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| ANNUAL MEETING | 611710 | $460,337 | $460,337 |
| EXHIBITS | 611710 | $73,100 | $73,100 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $533,437 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $231 | TotalRevenueColumnAmt |
| Exclusion | $231 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MISCELLANEOUS | 900099 | $4,148 | $4,148 |
| MAILING LABELS | 511140 | $1,000 | $1,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,148 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $775,919 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $538,585 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $231 | ExclusionAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,766 | TotalAmt |
| Management And General | $110,766 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,109 | TotalAmt |
| Management And General | $1,109 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,791 | TotalAmt |
| Management And General | $6,791 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,409 | TotalAmt |
| Program Services | $7,409 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,222 | TotalAmt |
| Program Services | $11,587 | ProgramServicesAmt |
| Management And General | $7,635 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,888 | TotalAmt |
| Program Services | $16,347 | ProgramServicesAmt |
| Management And General | $14,541 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $449,876 | TotalAmt |
| Program Services | $421,002 | ProgramServicesAmt |
| Management And General | $28,874 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,984 | TotalAmt |
| Program Services | $1,417 | ProgramServicesAmt |
| Management And General | $567 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| GODINA FELLOWSHIP | $20,211 | $20,211 | |
| FUTURE GROWTH | $19,403 | $19,403 | |
| BANK CHARGES | $16,261 | $16,261 | |
| MEMBERSHIP ACTIVITIES | $15,781 | $11,439 | $4,342 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,241 | TotalAmt |
| Program Services | $2,760 | ProgramServicesAmt |
| Management And General | $2,481 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $704,942 | TotalAmt |
| Program Services | $511,575 | ProgramServicesAmt |
| Management And General | $193,367 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $724,979 | BOYAmt |
| EOY | $507,189 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $136,735 | BOYAmt |
| EOY | $174,264 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $719,146 | BOYAmt |
| EOY | $1,052,435 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,580,860 | BOYAmt |
| EOY | $1,733,888 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $349,836 | BOYAmt |
| EOY | $159,025 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $146,570 | BOYAmt |
| EOY | $307,088 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $496,406 | BOYAmt |
| EOY | $466,113 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $989,915 | BOYAmt |
| EOY | $1,178,990 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,539 | BOYAmt |
| EOY | $88,785 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,084,454 | BOYAmt |
| EOY | $1,267,775 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,580,860 | BOYAmt |
| EOY | $1,733,888 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $70,977 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $90,546 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $21,798 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (true) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $185,898 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $206,529 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $194,038 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $151,392 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $237,103 | CurrentTaxYearAmt |
| Total | $974,960 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $424,197 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $453,456 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $533,651 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $518,464 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $538,585 | CurrentTaxYearAmt |
| Total | $2,468,353 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $610,095 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $659,985 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $727,689 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $669,856 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $775,688 | CurrentTaxYearAmt |
| Total | $3,443,313 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,995 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,125 | CurrentTaxYearMinus3YearsAmt |
| Total | $26,120 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,995 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,125 | CurrentTaxYearMinus3YearsAmt |
| Total | $26,120 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $3,417,193 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,716 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,362 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,431 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $566 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $231 | CurrentTaxYearAmt |
| Total | $39,306 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,716 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,362 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,431 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $566 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $231 | CurrentTaxYearAmt |
| Total | $39,306 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $300 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,977 | CurrentTaxYearMinus3YearsAmt |
| Total | $3,277 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $621,111 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $665,324 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $753,120 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $670,422 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $775,919 | CurrentTaxYearAmt |
| Total | $3,485,896 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98030 | PublicSupportCY509Pct |
| Public Support PY509 | 0.97410 | PublicSupportPY509Pct |
| Investment Income CY | 0.01000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III, LINE 12 | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME 3,277 | ExplanationTxt |
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 O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 3 | THE ORGANIZATION DELEGATED THE MANAGEMENT DUTIES TO MEDICAL ASSOCIATION MANAGEMENT (MAM), A DIVISION OF THE ILLINOIS STATE MEDICAL SOCIETY (ISMS). MAM PROVIDES ADMINISTRATIVE, BOARD GOVERNANCE, MEMBERSHIP, PUBLICATION AND COMMUNICATIONS, WEBSITE, FINANCIAL, MICROSURGERY FELLOWSHIP MATCH, AND ANNUAL MEETING SERVICES TO THE ORGANIZATION. |
| FORM 990, PAGE 6, PART VI, LINE 6 | THE ORGANIZATION HAS SIX CLASSES OF MEMBERSHIP: FOUNDING, ACTIVE, ASSOCIATE, HONORARY, EMERITUS AND CANDIDATE. ACTIVE AND CANDIDATE MEMBERS ARE ALLOWED TO VOTE, HOLD AN ELECTED OFFICE POSITION AND SERVE ON COMMITTEES. EMERITUS MEMBERS ARE ALLOWED TO VOTE AND SERVE ON COMMITTEES, BUT ARE NOT ALLOWED TO HOLD ELECTED OFFICE POSITIONS. ASSOCIATE MEMBERS ARE ALLOWED TO SERVE ON COMMITTEES, BUT ARE NOT ALLOWED TO VOTE OR HOLD ELECTED OFFICE POSITIONS. ALL OTHER CLASSES OF MEMBERS ARE NOT ELIGIBLE TO VOTE, HOLD AN ELECTED OFFICE POSITION OR SERVE ON COMMITTEES. |
| FORM 990, PAGE 6, PART VI, LINE 7A | THE APPLICATIONS OF ACTIVE OR ASSOCIATE MEMBERS ARE REVIEWED BY THE MEMBERSHIP COMMITTEE AND CANDIDATES ARE THEN SUBMITTED TO THE EXECUTIVE COUNCIL. THE COMMITTEE REPORT, AFTER APPROVAL BY THE EXECUTIVE COUNCIL, IS SUBMITTED TO THE MEMBERSHIP FOR A THREE-QUARTER AFFIRMATIVE VOTE TO ELECT. HONORARY MEMBERS ARE NOMINATED BY THE EXECUTIVE COUNCIL AND ELECTED BY A THREE-QUARTER AFFIRMATIVE VOTE OF THE VOTING MEMBERS PRESENT AT THE ANNUAL BUSINESS MEETING. CANDIDATE MEMBERS ARE NOMINATED BY AN ACTIVE MEMBER AND ENDORSED BY TWO ACTIVE MEMBERS. |
| FORM 990, PAGE 6, PART VI, LINE 7B | THE ACTIVE MEMBERS APPROVE REVISIONS TO THE BYLAWS WITH A THREE-FOURTHS AFFIRMATIVE VOTE BY ACTIVE MEMBERS PRESENT AT THE ANNUAL BUSINESS MEETING. |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE FORM 990 IS MADE AVAILABLE TO ALL MEMBERS OF THE BOARD OF DIRECTORS BEFORE IT IS FILED. THE PRESIDENT AND TREASURER REVIEW FORM 990 BEFORE FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY THAT REQUIRES OFFICERS TO ANNUALLY DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS. IF AN ACTUAL OR POTENTIAL MATERIAL CONFLICT OF INTEREST OCCURS, IT IS IMPERATIVE THE INDIVIDUAL INVOLVED RESIGNS FROM THEIR POSITION. THE PRESIDENT AND EXECUTIVE DIRECTOR REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH THIS POLICY. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE EXECUTIVE DIRECTOR WORKS FOR A MANAGEMENT COMPANY HIRED BY THE ORGANIZATION; THEREFORE THE EXECUTIVE DIRECTOR'S COMPENSATION IS DETERMINED BY THE MANAGEMENT COMPANY. HOWEVER, THE ORGANIZATION'S BOARD OF DIRECTORS ANNUALLY APPROVE THE CONTRACT WITH THE MANAGEMENT COMPANY. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THIS QUESTION IS ANSWERED NO BECAUSE IT DOES NOT APPLY. THERE ARE NO OTHER COMPENSATED OFFICERS OR KEY EMPLOYEES. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION DOES MAKE ITS BYLAWS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, BUT IT DOES NOT MAKE ITS CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XI, LINE 9 | PRIOR PERIOD ADJUSTMENT 21,798 |