AMERICAN SOCIETY FOR RECONSTRUCTIVE MICROSURGERY: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- AMERICAN SOCIETY FOR RECONSTRUCTIVE MICROSURGERY (EIN 35-1620863)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-08-13
- IRS object ID
- 201322259349300042
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-13T08:52:29-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 341945695 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SS&G INC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1665 ELK BOULEVARD | AddressLine1 |
| City | DES PLAINES | City |
| State | IL | State |
| ZIP Code | 600164776 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351620863 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMERICAN SOCIETY FOR | BusinessNameLine1 |
| Business Name Line2 | RECONSTRUCTIVE MICROSURGERY INC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | AMER | NameControl |
| Phone | 3124569579 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20 NORTH MICHIGAN AVENUE NO 700 | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60602 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHAEL W NEUMEISTER MD | Name |
| Title | PRESIDENT | Title |
| Phone | 3124569579 | Phone |
| Date Signed | 2013-08-07 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DIRK AHLBECK | Name |
| PTIN | P00237637 | PTIN |
| Phone | 8478244000 | Phone |
| Date Prepared | 2013-08-07 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MICHAEL W NEUMEISTER M | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20 NORTH MICHIGAN AVE | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60602 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 608324 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MICROSURG.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1987 | YearFormation |
| State Legal Domicile | IN | StateLegalDomicile |
| Activity Or Mission Description | TO EDUCATE MEMBERS ABOUT RECONSTRUCTIVE MICROSURGICAL METHODS AND PRINCIPLES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 82 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 156886 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 172211 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 368149 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 424355 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 10483 | InvestmentIncomePriorYear |
| Investment Income Current Year | 7688 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1270 | OtherRevenuePriorYear |
| Other Revenue Current Year | 4070 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 536788 | TotalRevenuePriorYear |
| Total Revenue Current Year | 608324 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 5000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 29094 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 472282 | OtherExpensePriorYear |
| Other Expenses Current Year | 521463 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 477282 | TotalExpensesPriorYear |
| Total Expenses Current Year | 550557 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 59506 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 57767 | RevenuesLessExpensesCY |
| Total Assets BOY | 908552 | TotalAssetsBOY |
| Total Assets EOY | 870249 | TotalAssetsEOY |
| Total Liabilities BOY | 342338 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 223311 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 566214 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 646938 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO EDUCATE MEMBERS ABOUT RECONSTRUCTIVE MICROSURGICAL METHODS AND PRINCIPLES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 397010 | Expense |
| Grants | 29094 | Grants |
| Revenue | 407980 | Revenue |
| Description | ASRM PROVIDES A FORUM FOR TEACHING, RESEARCH AND FREE DISCUSSION ON RECONSTRUCTIVE MICROSURGICAL METHODS AND PRINCIPLES AMONG ITS MEMBERS. THERE WERE 500 ATTENDEES AT THE ANNUAL MEETING. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 12752 | Expense |
| Revenue | 16375 | Revenue |
| Description | MICROSURGERY FELLOWSHIP MATCH SERVICE PROVIDES ASSISTANCE TO THE MATCHING OF MICROSURGERY FELLOWSHIP PROGRAMS AND NEW STUDENTS READY TO ENTER A FELLOWSHIP. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 409762 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 0 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PETER KUHN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8479347181 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1320 SHADOW LAKE TERRACE | AddressLine1 |
| City | PALATINE | City |
| State | IL | State |
| ZIP Code | 60074 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (12 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| KEITH E BRANDT MD | ||||||
| PAST PRESIDENT | 1.00 | X | X | 0 | 0 | 0 |
| JOSEPH SERLETTI MD | ||||||
| PRESIDENT-ELECT | 1.00 | X | X | 0 | 0 | 0 |
| ELISABETH BEAHM MD | ||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 |
| MICHAEL W NEUMEISTER MD | ||||||
| PRESIDENT | 1.00 | X | X | 0 | 0 | 0 |
| ALLEN T BISHOP MD | ||||||
| VICE-PRESIDENT | 1.00 | X | X | 0 | 0 | 0 |
| CHARLES E BUTLER MD | ||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 |
| JOSEPH DISA MD | ||||||
| SR. MEM. AT LARGE | 1.00 | X | 0 | 0 | 0 | |
| LAWRENCE GOTTLIEB MD | ||||||
| SR. MEM. AT LARGE | 1.00 | X | 0 | 0 | 0 | |
| MICHAEL KLEBUC MD | ||||||
| JR. MEM. AT LARGE | 1.00 | X | 0 | 0 | 0 | |
| JOAN E LIPA MD MSC FRCS | ||||||
| JR. MEM. AT LARGE | 1.00 | X | 0 | 0 | 0 | |
| A LEE DELLON MD | ||||||
| HISTORIAN | 1.00 | X | 0 | 0 | 0 | |
| KRISTA GRECO | ||||||
| EXECUTIVE DIRECTOR | 25.00 | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Membership Dues | 137842 | MembershipDues |
| All Other Contributions | 34369 | AllOtherContributions |
| Total Contributions | 172211 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| ANNUAL MEETING | 611710 | 320285 | 320285 |
| EXHIBITS | 611710 | 68223 | 68223 |
| PUBLICATIONS | 611710 | 19472 | 19472 |
| PROGRAM REGISTRATION | 611710 | 16375 | 16375 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 424355 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7688 | TotalRevenueColumn |
| Exclusion | $7,688 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| MISCELLANEOUS | 900099 | 3170 | $3,170 |
| MAILING LIST RENTAL | 511140 | 900 | $900 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4070 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 608324 | TotalRevenueColumn |
| Related Or Exempt Function Income | 424355 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $11,758 | ExclusionAmount |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29094 | Total |
| Program Services | 29094 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 98678 | Total |
| Program Services | 39471 | ProgramServices |
| Management And General | 59207 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 926 | Total |
| Management And General | 926 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6220 | Total |
| Management And General | 6220 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21343 | Total |
| Program Services | 10031 | ProgramServices |
| Management And General | 11312 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8255 | Total |
| Program Services | 8255 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 361222 | Total |
| Program Services | 320543 | ProgramServices |
| Management And General | 40679 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3592 | Total |
| Program Services | 1490 | ProgramServices |
| Management And General | 2102 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices |
|---|---|---|---|
| SUBSCRIPTION EXPENSES | 16952 | 16952 | |
| MISCELLANEOUS | 3397 | 3397 | |
| MEMBERSHIP ACTIVITIES | 878 | 878 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 550557 | Total |
| Program Services | 409762 | ProgramServices |
| Management And General | 140795 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 269450 | BOY |
| EOY | 199562 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 123480 | BOY |
| EOY | 110306 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 515622 | BOY |
| EOY | 560381 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 908552 | BOY |
| EOY | 870249 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1618 | BOY |
| EOY | 19091 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 340720 | BOY |
| EOY | 204220 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 342338 | BOY |
| EOY | 223311 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 484477 | BOY |
| EOY | 583668 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 81737 | BOY |
| EOY | 63270 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 566214 | BOY |
| EOY | 646938 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 908552 | BOY |
| EOY | 870249 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 57767 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 22957 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 1 | AccountantCompileOrReview |
Accountant Compile Or Review Basis AccountantCompileOrReviewBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | 0 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 24358 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 46426 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 30975 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 156886 | CurrentTaxYearMinus1Year |
| Current Tax Year | 172211 | CurrentTaxYear |
| Total | 430856 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 429773 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 501696 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 458182 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 368149 | CurrentTaxYearMinus1Year |
| Current Tax Year | 424355 | CurrentTaxYear |
| Total | 2182155 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 454131 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 548122 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 489157 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 525035 | CurrentTaxYearMinus1Year |
| Current Tax Year | 596566 | CurrentTaxYear |
| Total | 2613011 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 4940 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4750 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6250 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5740 | CurrentTaxYear |
| Total | 21680 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 4940 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4750 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6250 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5740 | CurrentTaxYear |
| Total | 21680 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 2591331 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 15373 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8226 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 13245 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 10483 | CurrentTaxYearMinus1Year |
| Current Tax Year | 7688 | CurrentTaxYear |
| Total | 55015 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 15373 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8226 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 13245 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 10483 | CurrentTaxYearMinus1Year |
| Current Tax Year | 7688 | CurrentTaxYear |
| Total | 55015 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3453 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2807 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4275 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1270 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4070 | CurrentTaxYear |
| Total | 15875 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 472957 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 559155 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 506677 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 536788 | CurrentTaxYearMinus1Year |
| Current Tax Year | 608324 | CurrentTaxYear |
| Total | 2683901 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.96550 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.95940 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.02050 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.02950 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE EXCEPT FOR NET INCOME DERIVED FROM UNRELATED BUSINESS ACTIVITIES. 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 2009 THROUGH THE CURRENT YEAR. IN EVALUATING 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 TAX 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. IT IS THE POLICY OF THE ORGANIZATION TO INCLUDE IN MANAGEMENT AND GENERAL EXPENSES PENALTIES AND INTEREST ASSESSED BY INCOME TAXING AUTHORITIES. THERE ARE NO PENALTIES OR INTEREST FROM TAXING AUTHORITIES INCLUDED IN MANAGEMENT AND GENERAL EXPENSES FOR THE YEARS ENDED DECEMBER 31, 2012 AND 2011. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | TRAVEL AND STUDY GRANT | TypeOfGrant |
| Number Of Recipients | 2 | NumberOfRecipients |
| Amount Of Cash Grant | 20000 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART I, LINE 2: | Identifier |
| Return Reference | PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS | ReturnReference |
| Explanation | THE ORGANIZATION'S GRANT IS AWARDED TO A DOCTOR FOR FELLOWSHIP USES. AN APPOINTED COMMITTEE DEICDES 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. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| 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 $36,430. |
| FORM 990, PART VI, SECTION A, LINE 4 | THE ORGANIZATION MADE THE FOLLOWING SIGNIFICANT CHANGES TO ITS BYLAWS. THE ORGANIZATION REDUCED THE NUMBER OF CLASSES OF MEMBERS TO SIX. THE ORGANIZATION NO LONGER HAS CORRESPONDING AND SENIOR MEMBERSHIPS. THE ORGANIZATION ALSO ADDED AN ARTICLE TO ADDRESS MAIL OR ELECTRONIC VOTING AND QUORUM RIGHTS. |
| 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 EMAILED 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. |
| 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. |