AMERICAN SOCIETY FOR RECONSTRUCTIVE MICROSURGERY: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: AMERICAN SOCIETY FOR RECONSTRUCTIVE MICROSURGERY (EIN 35-1620863)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2015-10-26
IRS object ID: 201512999349300231
Schema version: 2014v5.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule I
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-10-26T10:56:23-05:00	ReturnTs
Tax Period End	2014-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135381590	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BDO USA LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1665 ELK BOULEVARD	AddressLine1Txt
City	DES PLAINES	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	600164776	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-01-01	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	BusinessNameLine1Txt
Business Name Line2	RECONSTRUCTIVE 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 AVENUE NO 700	AddressLine1Txt
City	CHICAGO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60602	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ALLEN T BISHOP MD	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	3124569579	PhoneNum
Signature	2015-10-09	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DIRK AHLBECK	PreparerPersonNm
PTIN	P00237637	PTIN
Phone	8478244000	PhoneNum
Preparation	2015-10-08	PreparationDt

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ALLEN T BISHOP MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	20 NORTH MICHIGAN AVENUE NO 700	AddressLine1Txt
City	CHICAGO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60602	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$696,799	GrossReceiptsAmt
Group Return For Affiliates	0	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	11	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	97	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$185,898	PYContributionsGrantsAmt
CY Contributions Grants	$210,227	CYContributionsGrantsAmt
PY Program Service Revenue	$424,197	PYProgramServiceRevenueAmt
CY Program Service Revenue	$453,456	CYProgramServiceRevenueAmt
PY Investment Income	$10,716	PYInvestmentIncomeAmt
CY Investment Income	$2,362	CYInvestmentIncomeAmt
PY Other Revenue	$300	PYOtherRevenueAmt
CY Other Revenue	-$721	CYOtherRevenueAmt
PY Total Revenue	$621,111	PYTotalRevenueAmt
CY Total Revenue	$665,324	CYTotalRevenueAmt
PY Grants And Similar Paid	$10,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$15,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$0	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$0	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$514,737	PYOtherExpensesAmt
CY Other Expenses	$592,420	CYOtherExpensesAmt
PY Total Expenses	$524,737	PYTotalExpensesAmt
CY Total Expenses	$607,420	CYTotalExpensesAmt
PY Revenues Less Expenses	$96,374	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$57,904	CYRevenuesLessExpensesAmt
Total Assets BOY	$977,071	TotalAssetsBOYAmt
Total Assets EOY	$1,123,953	TotalAssetsEOYAmt
Total Liabilities BOY	$213,430	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$297,604	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$763,641	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$826,349	NetAssetsOrFundBalancesEOYAmt
Mission	TO EDUCATE MEMBERS ABOUT RECONSTRUCTIVE MICROSURGICAL METHODS AND PRINCIPLES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$482,507	ExpenseAmt
Grant	$15,000	GrantAmt
Revenue	$453,456	RevenueAmt
Desc	ASRM PROVIDES A FORUM FOR TEACHING, RESEARCH, AND FREE DISCUSSION ON RECONSTRUCTIVE MICROSURGICAL METHODS AND PRINCIPLES AMONG ITS MEMBERS. THERE WERE 541 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	$482,507	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	0	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	0	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PETER KUHN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
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
ALLEN T BISHOP MD
PRESIDENT	1.00	Yes (X)	Yes (X)	$0	$0	$0
GREGORY R D EVANS MD
PRESIDENT-ELECT	1.00	Yes (X)	Yes (X)	$0	$0	$0
CHARLES E BUTLER MD
VICE-PRESIDENT	1.00	Yes (X)	Yes (X)	$0	$0	$0
DAVID W CHANG MD
SECRETARY	1.00	Yes (X)	Yes (X)	$0	$0	$0
LAWRENCE J GOTTLIEB MD
TREASURER	1.00	Yes (X)	Yes (X)	$0	$0	$0
JOSEPH SERLETTI MD
IMMEDIATE PAST PRESIDENT	1.00	Yes (X)	Yes (X)	$0	$0	$0
GUENTER GERMANN MD
SR. MEM. AT LARGE	1.00	Yes (X)		$0	$0	$0
JOAN LIPA MD
SR. MEM. AT LARGE	1.00	Yes (X)		$0	$0	$0
MATTHEW HANASONO MD
JR. MEM. AT LARGE	1.00	Yes (X)		$0	$0	$0
LIZA WU MD
JR. MEM. AT LARGE	1.00	Yes (X)		$0	$0	$0
MICHAEL ZENN MD
HISTORIAN	1.00	Yes (X)	Yes (X)	$0	$0	$0
KRISTA GRECO
EXECUTIVE DIRECTOR	24.80		Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Membership Dues	$137,161	MembershipDuesAmt
Fundraising	$7,528	FundraisingAmt
All Other Contributions	$65,538	AllOtherContributionsAmt
Noncash Contributions	$7,528	NoncashContributionsAmt
Total Contributions	$210,227	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ANNUAL MEETING	611710	$404,980	$404,980
EXHIBITS	611710	$48,300	$48,300
PUBLICATIONS	611710	$176	$176

Field	Value	IRS element (for citing)
Total Program Service Revenue	$453,456	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,011	TotalRevenueColumnAmt
Exclusion	$2,011	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$24,298	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$23,947	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$351	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$351	TotalRevenueColumnAmt
Exclusion	$351	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$3,830	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$7,528	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$7,528	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$3,698	TotalRevenueColumnAmt
Exclusion	-$3,698	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
MISCELLANEOUS	900099	$2,377	$2,377
MAILING LIST RENTAL	511140	$600	$600

Field	Value	IRS element (for citing)
Other Revenue Total	$2,977	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$665,324	TotalRevenueColumnAmt
Related Or Exempt Func Income	$453,456	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,641	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$5,000	TotalAmt
Program Services	$5,000	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$10,000	TotalAmt
Program Services	$10,000	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$372	TotalAmt
Management And General	$372	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$8,796	TotalAmt
Management And General	$8,796	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$103,354	TotalAmt
Program Services	$48,576	ProgramServicesAmt
Management And General	$54,778	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$22,041	TotalAmt
Program Services	$10,359	ProgramServicesAmt
Management And General	$11,682	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$20,735	TotalAmt
Program Services	$10,244	ProgramServicesAmt
Management And General	$10,491	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$410,467	TotalAmt
Program Services	$390,261	ProgramServicesAmt
Management And General	$20,206	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,582	TotalAmt
Program Services	$1,245	ProgramServicesAmt
Management And General	$2,337	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
MISCELLANEOUS	$9,166	$9,166
MEMBERSHIP ACTIVITIES	$6,822		$6,822
OTHER ADMINISTRATIVE EX	$5,192	$5,192
MEMBER JEWELRY PRODUCTI	$1,893	$1,893

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$607,420	TotalAmt
Program Services	$482,507	ProgramServicesAmt
Management And General	$124,913	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$95,084	BOYAmt
EOY	$407,709	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$217,792	BOYAmt
EOY	$29,420	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$664,195	BOYAmt
EOY	$686,824	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$977,071	BOYAmt
EOY	$1,123,953	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$19,561	BOYAmt
EOY	$25,471	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$193,869	BOYAmt
EOY	$272,133	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$213,430	BOYAmt
EOY	$297,604	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$620,945	BOYAmt
EOY	$738,611	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$142,696	BOYAmt
EOY	$87,738	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$763,641	BOYAmt
EOY	$826,349	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$977,071	BOYAmt
EOY	$1,123,953	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$57,904	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$4,804	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	Yes (1)	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	0	FSAuditedInd
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	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	$30,975	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$156,886	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$172,211	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$185,898	CurrentTaxYearMinus1YearAmt
Current Tax Year	$206,529	CurrentTaxYearAmt
Total	$752,499	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$458,182	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$368,149	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$424,355	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$424,197	CurrentTaxYearMinus1YearAmt
Current Tax Year	$453,456	CurrentTaxYearAmt
Total	$2,128,339	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$489,157	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$525,035	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$596,566	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$610,095	CurrentTaxYearMinus1YearAmt
Current Tax Year	$659,985	CurrentTaxYearAmt
Total	$2,880,838	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$4,750	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$6,250	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,740	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$12,995	CurrentTaxYearMinus1YearAmt
Current Tax Year	$13,125	CurrentTaxYearAmt
Total	$42,860	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$4,750	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$6,250	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,740	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$12,995	CurrentTaxYearMinus1YearAmt
Current Tax Year	$13,125	CurrentTaxYearAmt
Total	$42,860	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$2,837,978	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$13,245	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$10,483	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$7,688	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$10,716	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,362	CurrentTaxYearAmt
Total	$44,494	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$13,245	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$10,483	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$7,688	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$10,716	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,362	CurrentTaxYearAmt
Total	$44,494	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$4,275	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,270	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,070	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$300	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,977	CurrentTaxYearAmt
Total	$12,892	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$506,677	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$536,788	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$608,324	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$621,111	CurrentTaxYearMinus1YearAmt
Current Tax Year	$665,324	CurrentTaxYearAmt
Total	$2,938,224	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.96590	PublicSupportCY509Pct
Public Support PY509	0.96550	PublicSupportPY509Pct
Investment Income CY	0.01510	InvestmentIncomeCYPct
Investment Income PY	0.01780	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

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 D IRS990ScheduleD

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$0	TotalBookValueLandBuildingsAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IN ADDITION, THE ORGANIZATION QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION OTHER THAN A PRIVATE FOUNDATION UNDER IRC SECTION 509(A). THE ORGANIZATION'S INCOME TAX FILINGS ARE SUBJECT TO AUDIT BY VARIOUS TAXING AUTHORITIES. THE ORGANIZATION'S OPEN AUDIT PERIODS ARE 2011 THROUGH THE CURRENT YEAR. IN EVALUATING ON THE ORGANIZATION'S ACTIVITIES, MANAGEMENT BELIEVES ITS POSITION OF TAX-EXEMPT STATUS IS BASED ON CURRENT FACTS AND CIRCUMSTANCES AND THERE HAVE BEEN NO UNCERTAIN POSITIONS TAKEN RELATED TO RECORDING INCOME TAXES. MANAGEMENT HAS ASSESSED THAT THERE ARE NO ACTIVITIES UNRELATED TO THE PURPOSE OF THE ORGANIZATION AND THEREFORE NO TAX IS TO BE RECOGNIZED.	ExplanationTxt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	TRAVEL AND STUDY GRANT	GrantTypeTxt
Recipient	1	RecipientCnt
Cash Grant	$10,000	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION'S GRANT IS AWARDED TO A DOCTOR FOR FELLOWSHIP USES. AN APPOINTED COMMITTEE DECIDES ON THE RECIPIENT AND APPROVES THE RECIPIENT'S ITINERARY OF THE FUNDS BEFORE APPROVAL IS GIVEN. THE RECIPIENT ALSO MUST REPORT ON THEIR EXPERIENCE DURING FELLOWSHIP.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, 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. KRISTA GRECO (EXECUTIVE DIRECTOR) IS A KEY EMPLOYEE WHO WAS COMPENSATED BY THE MANAGEMENT COMPANY. THE COMPENSATION INCLUDED $55,331.
FORM 990, PART VI, SECTION A, 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 POSITIONS 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, PART VI, SECTION A, 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 ANNUAL BUSINESS MEETING. CANDIDATE MEMBERS ARE NOMINATED BY AN ACTIVE MEMBER AND ENDORSED BY TWO ACTIVE MEMBERS.
FORM 990, PART VI, SECTION A, 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, PART VI, SECTION B, LINE 11	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, PART VI, SECTION B, 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 INVOVLED RESIGNS FROM THEIR POSITION. THE PRESIDENT AND EXECUTIVE DIRECTOR REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH THIS POLICY.
FORM 990, PART VI, SECTION B, LINE 15	LINE 15A: THE EXECUTIVE DIRECTOR WORKS FOR A MANAGEMENT COMPANY HIRED BY THE ORGANIZATION; THEREFORE THE EXECUTIVE DIRECTOR'S COMPENSATION IS DETERMINED BY THE MANAGMENT COMPANY. HOWEVER, THE ORGANIZATION'S BOARD OF DIRECTORS ANNUALLY APPROVES THE CONTRACT WITH THE MANAGEMENT COMPANY. LINE 15B: THIS QUESTION IS ANSWERED NO BECAUSE IT DOES NOT APPLY. THERE ARE NO OTHER COMPENSATED OFFICERS OR KEY EMPLOYEES.
FORM 990, PART VI, SECTION C, 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.