AMERICAN SOCIETY FOR RECONSTRUCTIVE MICROSURGERY: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: AMERICAN SOCIETY FOR RECONSTRUCTIVE MICROSURGERY (EIN 35-1620863)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-08-10
IRS object ID: 201202239349300540
Schema version: 2011v1.2
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 O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-08-10T11:17:59-05:00	Timestamp
Tax Period End Date	2011-12-31	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	2011-01-01	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	PETER NELIGAN MD	Name
Title	PRESIDENT	Title
Phone	3124569579	Phone
Date Signed	2012-07-26	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	2012-07-26	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	KEITH E BRANDT MD	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	536788	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	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	0	TotalNbrEmployees
Total Nbr Volunteers	12	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	30975	ContributionsGrantsPriorYear
Contributions Grants Current Year	156886	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	458182	ProgramServiceRevenuePriorYear
Program Service Revenue CY	368149	ProgramServiceRevenueCY
Investment Income Prior Year	8897	InvestmentIncomePriorYear
Investment Income Current Year	10483	InvestmentIncomeCurrentYear
Other Revenue Prior Year	4275	OtherRevenuePriorYear
Other Revenue Current Year	1270	OtherRevenueCurrentYear
Total Revenue Prior Year	502329	TotalRevenuePriorYear
Total Revenue Current Year	536788	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	10000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	5000	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	443558	OtherExpensePriorYear
Other Expenses Current Year	472282	OtherExpensesCurrentYear
Total Expenses Prior Year	453558	TotalExpensesPriorYear
Total Expenses Current Year	477282	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	48771	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	59506	RevenuesLessExpensesCY
Total Assets BOY	735472	TotalAssetsBOY
Total Assets EOY	908552	TotalAssetsEOY
Total Liabilities BOY	221086	TotalLiabilitiesBOY
Total Liabilities EOY	342338	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	514386	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	566214	NetAssetsOrFundBalancesEOY
Mission Description	TO EDUCATE MEMBERS ABOUT RECONSTRUCTIVE MICROSURGICAL METHODS AND PRINCIPLES.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	323769	Expense
Revenue	350674	Revenue
Description	ASRM PROVIDES A FORUM FOR TEACHING, RESEARCH AND FREE DISCUSSION ON RECONSTRUCTIVE MICROSURGICAL METHODS AND PRINCIPLES AMONG ITS MEMBERS. THERE WERE 428 ATTENDEES AT THE ANNUAL MEETING.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	18800	Expense
Revenue	17475	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	342569	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	0	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
Transaction Related Entity	0	TransactionRelatedEntity
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	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	1	DelegationOfManagementDuties
Changes To Organizing Docs	0	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 (13 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
PRESIDENT	1.00	X	X	0	0	0
JOSEPH SERLETTI MD
VICE-PRESIDENT	1.00	X	X	0	0	0
E GENE DEUNE MD
SECRETARY	1.00	X	X	0	0	0
MICHAEL W NEUMEISTER MD
PRESIDENT-ELECT	1.00	X	X	0	0	0
ALLEN T BISHOP MD
TREASURER	1.00	X	X	0	0	0
CHARLES E BUTLER MD
TREASURER-ELECT	1.00	X	X	0	0	0
PETER NELIGAN MD
IMMED. PAST PRESIDENT	1.00	X	X	0	0	0
LAWRENCE GOTTLIEB MD
SR. MEM. AT LARGE	1.00	X		0	0	0
RAYMOND M DUNN MD
SR. MEM. AT LARGE	1.00	X		0	0	0
MICHEL SAINT-CYR MD FRCS
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
MICHAEL J MILLER 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	109287	MembershipDues
All Other Contributions	47599	AllOtherContributions
Total Contributions	156886	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
ANNUAL MEETING	611710	303725	303725
EXHIBITS	611710	31549	31549
PROGRAM REGISTRATION	611710	17475	17475
PUBLICATIONS	611710	15400	15400

Field	Value	IRS element (for citing)
Total Program Service Revenue	368149	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	10483	TotalRevenueColumn
Exclusion	$10,483	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
MAILING LIST RENTAL	511140	900	$900
MISCELLANEOUS	900099	370	$370

Field	Value	IRS element (for citing)
Total Other Revenue	1270	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	536788	TotalRevenueColumn
Related Or Exempt Function Income	368149	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$11,753	ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	5000	Total
Program Services	5000	ProgramServices

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	99088	Total
Program Services	46571	ProgramServices
Management And General	52517	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	853	Total
Management And General	853	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	8007	Total
Management And General	8007	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	29373	Total
Program Services	13805	ProgramServices
Management And General	15568	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	8363	Total
Program Services	8363	ProgramServices

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	309285	Total
Program Services	267169	ProgramServices
Management And General	42116	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2176	Total
Program Services	924	ProgramServices
Management And General	1252	ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices
SUBSCRIPTION EXPENSES	14400	14400
MEMBERSHIP ACTIVITIES	737		737

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	477282	Total
Program Services	342569	ProgramServices
Management And General	134713	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	269581	BOY
EOY	269450	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	101390	BOY
EOY	123480	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	364501	BOY
EOY	515622	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	735472	BOY
EOY	908552	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	19253	BOY
EOY	1618	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	201833	BOY
EOY	340720	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	221086	BOY
EOY	342338	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	450990	BOY
EOY	484477	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	63396	BOY
EOY	81737	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	514386	BOY
EOY	566214	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	735472	BOY
EOY	908552	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	59506	ReconcilationRevenueExpenses
Reconcilation Other Changes	-7678	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	1	AccountantCompileOrReview
FS Audited	0	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
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	22957	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	24358	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	46426	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	30975	CurrentTaxYearMinus1Year
Current Tax Year	156886	CurrentTaxYear
Total	281602	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	381015	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	429773	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	501696	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	458182	CurrentTaxYearMinus1Year
Current Tax Year	368149	CurrentTaxYear
Total	2138815	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	403972	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	454131	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	548122	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	489157	CurrentTaxYearMinus1Year
Current Tax Year	525035	CurrentTaxYear
Total	2420417	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	4940	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4750	CurrentTaxYearMinus1Year
Current Tax Year	6250	CurrentTaxYear
Total	15940	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 Minus2 Years	4940	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4750	CurrentTaxYearMinus1Year
Current Tax Year	6250	CurrentTaxYear
Total	15940	Total

Field	Value	IRS element (for citing)
Public Support Total509	2404477	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	26623	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	15373	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	8226	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	13245	CurrentTaxYearMinus1Year
Current Tax Year	10483	CurrentTaxYear
Total	73950	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	26623	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	15373	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	8226	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	13245	CurrentTaxYearMinus1Year
Current Tax Year	10483	CurrentTaxYear
Total	73950	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	3453	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2807	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4275	CurrentTaxYearMinus1Year
Current Tax Year	1270	CurrentTaxYear
Total	11805	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	430595	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	472957	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	559155	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	506677	CurrentTaxYearMinus1Year
Current Tax Year	536788	CurrentTaxYear
Total	2506172	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.95940	PublicSupportPercentage509
Prior Year Support Percentage	0.95710	PriorYearSupportPercentage
Investment Income Percentage	0.02950	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.03000	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

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	Identifier
Return Reference	PART X:	ReturnReference
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 IS NOT EXEMPT FORM INCOME TAXES WHEN IT HAS NET INCOME DERIVED FROM UNRELATED BUSINESS ACTIVITIES. DURING THE YEAR ENDED DECEMBER 31, 2011, THE ORGANIZATION DID NOT HAVE ANY UNRELATED BUSINESS ACTIVITIES. THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, INCLUDING ITS TAX EXEMPT STATUS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE ORGANIZATION'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS (FORM 990-T) FOR 2008 THROUGH THE CURRENT YEAR ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. IT IS THE ORGANIZATION'S POLICY TO INCLUDE ANY PENALTIES AND INTEREST RELATED TO INCOME TAXES IN MANAGEMENT AND GENERAL EXPENSES, HOWEVER, THE SOCIETY HAS NO PENALTIES OR INTEREST RELATED TO INCOME TAXES.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3	THE ORGANIZATION DELEGATED THE MANAGEMENT DUTIES TO MEDICAL ASSOCIATION MANAGEMENT, A DIVISION OF THE ILLINOIS STATE MEDICAL SOCIETY (ISMS).
FORM 990, PART VI, SECTION A, LINE 6	THE ORGANIZATION HAS EIGHT CLASSES OF MEMBERSHIP: FOUNDING, ACTIVE, ASSOCIATE, CORRESPONDING, HONORARY, EMERITUS, SENIOR AND CANDIDATE. ACTIVE AND CANDIDATE MEMBERS ARE ALLOWED TO VOTE, HOLD AN ELECTED OFFICE POSITIONS AND SERVE ON COMMITTEES. EMERITUS AND CORRESPONDING MEMBERS ARE ALLOWED TO VOTE AND SERVE ON COMMITTEES, BUT ARE NOT ALLOWED TO HOLD ELECTED OFFICE POSITIONS. ASSOCIATE AND SENIOR 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, ASSOCIATE OR CORRESPONDING 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.
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.
FORM 990, 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 APPROVES THE CONTRACT WITH THE MANAGEMENT COMPANY.	EXECUTIVE DIRECTOR COMPENSATION PROCESS
FORM 990, PART VI, LINE 15B:	THIS QUESTION IS ANSWERED NO BECAUSE IT DOES NOT APPLY. THERE ARE NO OTHER COMPENSATED OFFICERS OR KEY EMPLOYEES.	OFFICERS OR KEY EMPLOYEES COMPENSATION PROCESS
FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -7,678.	CHANGES IN NET ASSETS OR FUND BALANCES: