Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2019
Open to Public Inspection
For calendar year 2019, or tax year beginning 01-01-2019 , and ending 12-31-2019
Name of foundation
AO NORTH AMERICA CHARITABLE FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)435 DEVON PARK DRIVE NO 820
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
WAYNE, PA19087
A Employer identification number

23-2701788
B Telephone number (see instructions)

(610) 695-2459
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$18,572,477
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 5,871,127
2 Check bullet.............
3 Interest on savings and temporary cash investments 110,538 110,538  
4 Dividends and interest from securities...      
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10  
b Gross sales price for all assets on line 6a  
7 Capital gain net income (from Part IV, line 2)... 0
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 5,981,665 110,538  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... 9,897 0   9,843
b Accounting fees (attach schedule)....... 23,695 0   23,347
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)...        
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 199,058 0   185,315
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 4,166,999 0   3,448,125
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 4,399,649 0   3,666,630
25 Contributions, gifts, grants paid....... 1,407,035 3,610,745
26 Total expenses and disbursements. Add lines 24 and 25 5,806,684 0   7,277,375
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 174,981
b Net investment income (if negative, enter -0-) 110,538
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2019)
Form 990-PF (2019)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 5,835,255 5,858,511 5,858,511
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet238,904
Less: allowance for doubtful accounts bullet   233,795 238,904 238,904
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable................. 12,625,355 12,474,737 12,474,737
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges.......... 1,777 325 325
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 18,696,182 18,572,477 18,572,477
Liabilities 17 Accounts payable and accrued expenses.......... 2,436,031 2,137,345
18 Grants payable.................    
19 Deferred revenue................. 41,683 41,683
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 2,477,714 2,179,028
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 0 0
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 16,218,468 16,393,449
29 Total net assets or fund balances (see instructions)..... 16,218,468 16,393,449
30 Total liabilities and net assets/fund balances (see instructions). 18,696,182 18,572,477
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
16,218,468
2
Enter amount from Part I, line 27a .....................
2
174,981
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
16,393,449
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
16,393,449
Form 990-PF (2019)
Form 990-PF (2019)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b)
How acquired
P—Purchase
D—Donation
(c)
Date acquired
(mo., day, yr.)
(d)
Date sold
(mo., day, yr.)
1a
b
c
d
e
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2  
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ...................
Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2018 6,441,440 6,884,050 0.935705
2017 7,434,167 16,456,014 0.451760
2016 6,574,376 16,863,261 0.389864
2015 6,553,453 14,627,503 0.448023
2014 6,355,506 19,441,917 0.326897
2
Total of line 1, column (d) .....................
2
2.552249
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5.0, or by the number of years the foundation has been in existence if less than 5 years ......
3
0.510450
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5......
4
5,997,113
5
Multiply line 4 by line 3......................
5
3,061,226
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
1,105
7
Add lines 5 and 6........................
7
3,062,331
8
Enter qualifying distributions from Part XII, line 4,.............
8
7,277,375
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form 990-PF (2019)
Form 990-PF (2019)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket includes lines 1a and 1b
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Domestic foundations that meet the section 4940(e) requirements in Part V, check 1 1,105
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 1,105
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 1,105
6 Credits/Payments:
a 2019 estimated tax payments and 2018 overpayment credited to 2019 6a 600
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 515
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 1,115
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 10
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 0
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2020 estimated taxBullet   RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition).................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletPA
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2019 or the taxable year beginning in 2019? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletWWW.AONA.ORG
    14
    The books are in care ofbulletMICHAEL LEWIS Telephone no.bullet (610) 993-5137

    Located atbullet435 DEVON PARK DRIVE 820WAYNEPA ZIP+4bullet19087
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
    No
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2019?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2019, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2019?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2019 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2019.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2019?
    4b
     
    No
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
    No
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d). Click to see attachment
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    AL RUGGLES DVM DACVS DIRECTOR
    0.50
    0 0 0
    435 DEVON PARK DRIVE STE 820
    WAYNE,PA19087
    DAVID HELFET MD CHAIRMAN
    0.50
    0 0 0
    435 DEVON PARK DRIVE STE 820
    WAYNE,PA19087
    GEORGE KUSHNER MD SECRETARY,DIRECTOR
    0.50
    0 0 0
    435 DEVON PARK DRIVE STE 820
    WAYNE,PA19087
    JENS CHAPMAN MD DIRECTOR (DEPARTED 11/19)
    0.50
    0 0 0
    435 DEVON PARK DRIVE STE 820
    WAYNE,PA19087
    JIM STANNARD MD PRESIDENT
    1.00
    0 0 0
    435 DEVON PARK DRIVE STE 820
    WAYNE,PA19087
    MICHAEL J LEWIS TREASURER
    10.00
    0 0 0
    435 DEVON PARK DRIVE STE 820
    WAYNE,PA19087
    MILTON ROUTT MD MEMBER
    0.50
    0 0 0
    435 DEVON PARK DRIVE STE 820
    WAYNE,PA19087
    STEPHEN SCHWARTZ EXECUTIVE DIRECTOR
    10.00
    0 0 0
    435 DEVON PARK DRIVE STE 820
    WAYNE,PA19087
    AMY KAPATKIN PRESIDENT ELECT
    0.50
    0 0 0
    435 DEVON PARK DRIVE STE 820
    WAYNE,PA19087
    JOHN FRANCE DIRECTOR (STARTED 11/19)
    0.50
    0 0 0
    435 DEVON PARK DRIVE STE 820
    WAYNE,PA19087
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NOR CONSULT LLC CLINICAL RESEARCH 1,615,056
    7423 W MERCER WAY
    MERCER ISLAND,WA98040
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 RESEARCH: AONA CHARITABLE FOUNDATION (AONACF) PERFORMS SPINE RESEARCH - FROM EXPERIMENTAL TO CLINICAL STUDIES. AONACF RETAINS A LEADERSHIP POSITION IN THE SPINE CARE COMMUNITY BY FOSTERING INNOVATION AND EVIDENCE-BASED CLINICAL PRACTICE. 1,898,964
    2 FELLOWSHIPS: AONACF ADMINISTERS A COMPREHENSIVE FELLOWSHIP PROGRAM. AONACF OFFERS INTENSIVE OPPORTUNITIES FOR FULLY TRAINED ORTHOPEDIC AND NEUROSURGEONS INTERESTED IN SURGERY. 4,168,736
    3 THE ORGANIZATION PROVIDES EDUCATIONAL AND COMMUNITY DEVELOPMENT OPPORTUNITIES FOR INTERESTED PERSONS. 0
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    0
    b
    Average of monthly cash balances.......................
    1b
    6,088,440
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    6,088,440
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    6,088,440
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    91,327
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    5,997,113
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    299,856
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    299,856
    2a
    Tax on investment income for 2019 from Part VI, line 5......
    2a
    1,105
    b
    Income tax for 2019. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,105
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    298,751
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    298,751
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    298,751
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    7,277,375
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    7,277,375
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b. See instructions.................
    5
    1,105
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    7,276,270
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2018
    (c)
    2018
    (d)
    2019
    1 Distributable amount for 2019 from Part XI, line 7 298,751
    2 Undistributed income, if any, as of the end of 2019:
    a Enter amount for 2018 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2019:
    a From 2014...... 5,395,600
    b From 2015...... 5,822,226
    c From 2016...... 5,708,972
    d From 2017...... 6,596,282
    e From 2018...... 6,092,585
    fTotal of lines 3a through e........ 29,615,665
    4Qualifying distributions for 2019 from Part
    XII, line 4: bullet$ 7,277,375
    a Applied to 2018, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
    0
    c Treated as distributions out of corpus (Election
    required—see instructions)........
    0
    d Applied to 2019 distributable amount..... 298,751
    e Remaining amount distributed out of corpus 6,978,624
    5 Excess distributions carryover applied to 2019. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 36,594,289
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2018. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2019. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2020 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8 Excess distributions carryover from 2014 not
    applied on line 5 or line 7 (see instructions) ...
    5,395,600
    9Excess distributions carryover to 2020.
    Subtract lines 7 and 8 from line 6a ......
    31,198,689
    10 Analysis of line 9:
    a Excess from 2015.... 5,822,226
    b Excess from 2016.... 5,708,972
    c Excess from 2017.... 6,596,282
    d Excess from 2018.... 6,092,585
    e Excess from 2019.... 6,978,624
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2019, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2019 (b) 2018 (c) 2017 (d) 2016
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    INDIANA UNIVERSITY
    PO BOX 7800
    DETROIT,MI48278
      PC FELLOWSHIP 30,000
    SUNNYBROOK ORTHOPAEDIC ASSOCIATES
    2075 BAYVIEW AVE RM MG 317
    TORONTO    
    CA
      PC FELLOWSHIP 70,000
    UNIVERSITY HEALTH NETWORK DEPT OF NEUROSURGERY & ORTHOPAEDIC SUR
    399 BATHURST STREET SUITE 4W-449
    TORONTO,ONTARIO  
    CA
      PC FELLOWSHIP 70,000
    UNIVERSITY OF CALIFORNIA SAN FRANCISCO
    PO BOX 748872
    LOS ANGELES,CA90074
      PC FELLOWSHIP 32,500
    UBC DEPT OF ORTHPAEDICS
    3114-920 WEST 10TH AVE
    VANCOUVER    
    CA
      PC FELLOWSHIP 70,000
    DALHOUSIE UNIVERSITY QE LI HSC
    1976 SUMMER ST ROOM 4875 HI SITE QE
    II HSC
    HALIFAX,HALIFAX  
    CA
      PC FELLOWSHIP 56,000
    AO SPINE NORTH AMERICA FELLOWSHIP AWARD ACCOUNT #4278
    2155 GUY ST 5TH FLOOR
    MONTREAL,MONTREAL  
    CA
      PC FELLOWSHIP 70,000
    ALBERTA SPINE FOUNDATION
    1403 29TH ST SOUTH
    ALBERTA,ALBERTA  
    CA
      PC FELLOWSHIP 70,000
    VANCOUVER ORTHOPAEDIC TRAUMA SOCIETY
    2775 LAUREL ST
    VANCOUVER    
    CA
      PC FELLOWSHIP 78,325
    MASSACHUSETTS GENERAL HOSPITAL
    DIVISION OF ORTHOPAEDICS 55 FRUIT
    ST
    BOSTON,MA02114
      PC FELLOWSHIP 62,500
    THE UNIVERSITY OF VERMONT & STATE AGRICULTURAL COLLEGE
    95 CARRIGAN DR
    BURLINGTON,VT05405
      PC FELLOWSHIP 500
    YALE UNIVERSITY
    PO BOX 1873
    NEW HAVEN,CT06510
      PC FELLOWSHIP 56,000
    COOPER UNIVERSITY HOSPITAL
    3 COOPER PLAZA SUITE 408
    CAMDEN,NJ08103
      PC FELLOWSHIP 20,000
    HOSPITAL FOR SPECIAL SURGERY
    535 EAST 70TH STREET
    NEW YORK,NY10021
      PC FELLOWSHIP 145,000
    UNIVERSITY OF ROCHESTER
    DEPT OF ORTHOPAEDIC SURGERY 910
    GENESEE ST
    ROCHESTER,NY14642
      PC FELLOWSHIP 115,000
    ALLEGHENY HEALTH NETWORK MEDICAL EDUCATION CONSORTIUM
    1307 FEDERAL ST 2ND FLOOR
    PITTSBURGH,PA15212
      PC FELLOWSHIP 70,000
    UNIVERSITY OF PITTSBURGH
    200 MEYRAN AVE STE 318
    PITTSBURGH,PA15213
      PC FELLOWSHIP 4,500
    THE ROTHMAN ORTHOPAEDIC INSTITUTE
    925 CHESTNUT ST 5TH FL
    PHILADELPHIA,PA19107
      PC FELLOWSHIP 793
    UNIVERSITY OF MARYLAND BALTIMORE
    22 S GREENE ST T3N15
    BALTIMORE,MD21201
      PC FELLOWSHIP 90,000
    UNIVERSITY OF MARYLAND MEDICAL SYSTEM FOUNDATION
    110 S PACA ST FLOOR 6
    BALTIMORE,MD21201
      PC FELLOWSHIP 70,000
    UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
    100 S PENN STREET
    BALTIMORE,MD21201
      PC FELLOWSHIP 44,500
    JOHNS HOPKINS UNIVERSITY
    600 N WOLFE ST ROOM 381
    BALTIMORE,MD21287
      PC FELLOWSHIP 30,000
    RECTOR & BOARD OF VISITORSUNIVERSITY OF VIRGINIA
    PO BOX 400195
    CHARLOTTESVILLE,VA22904
      PC FELLOWSHIP 115,000
    WVU DEPARTMENT OF ORTHOPAEDICS
    3702 HEALTH SCIENCE CENTER SOUTH
    MORGANTOWN,WV26506
      PC FELLOWSHIP 70,000
    WAKE FOREST UNIVERSITY HEALTH SCIENCES
    DEPT OF ORTHO MEDICAL CENTER BLVD
    WINSTON SALEM,NC27157
      PC FELLOWSHIP 41,750
    ORTHOCAROLINA SPINE CENTER
    2001 RANDOLPH RD
    CHARLOTTE,NC28207
      PC FELLOWSHIP 32,500
    CAROLINA'S MEDICAL CENTER
    1320 SCOTT AVENUE PO BOX 32861
    CHARLOTTE,NC28232
      PC FELLOWSHIP 37,500
    CAROLINA'S HEALTH CARE FOUNDATION
    208 EAST BOULEVARD
    CHARLOTTE,NC28232
      PC FELLOWSHIP 32,500
    EMORY UNIVERSITY
    1599 CLINTON ROAD 4TH FL
    ATLANTA,GA30322
      PC FELLOWSHIP 32,500
    AUGUSTA UNIVERSITY RESEARCH INSTITUTE INC
    PO BOX 94552
    ATLANTA,GA30912
      PC FELLOWSHIP 32,500
    THE TAMPA GENERAL HOSPITAL FOUNDATION INC
    PO BOX 1289 RM H149
    TAMPA,FL33601
      PC FELLOWSHIP 62,500
    TAMPA GENERAL HOSPITAL FOUNDATION INC
    5 TAMPA GENERAL CIRCLE STE 710
    TAMPA,FL33606
      PC FELLOWSHIP 17,500
    UNIVERSITY OF ALABAMA AT BIRMINGHAM
    510 20TH ST SOUTH FOT 901
    BIRMINGHAM,AL35294
      PC FELLOWSHIP 70,000
    VANDERBILT UNIVERSITY MEDICAL CENTER
    1215 21ST AVE SOUTH MCE SOUTH TOWER
    NASHVILLE,TN37232
      PC FELLOWSHIP 70,000
    ERLANGER HEALTH SYSTEMS
    975 EAST 3RD STREET HOSPITAL BOX
    260
    CHATTANOOGA,TN37403
      PC FELLOWSHIP 70,000
    UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER
    62 SOUTH DUNLAP 3RD FL
    MEMPHIS,TN38163
      PC FELLOWSHIP 26,000
    THE METROHEALTH FOUNDATION
    2500 METROHEALTH DRIVE TOWERS 135A
    CLEVELAND,OH44109
      PC FELLOWSHIP 70,000
    METROHEALTH MEDICAL CENTER
    2500 METROHEALTH DRIVE
    CLEVELAND,OH44109
      PC FELLOWSHIP 423
    CENTER FOR SPINE HEALTH
    CLEVELAND CLINIC HEALTH SYSTEMS
    9500 EUCLID AVE A41
    CLEVELAND,OH44195
      PC FELLOWSHIP 70,000
    INDIANA ORTHOPAEDIC HOSPITAL
    8450 NORTHWEST BLVD
    INDIANAPOLIS,IN46278
      PC FELLOWSHIP 30,000
    REGENTS OF THE UNIVERSITY OF MINNESOTA
    NW 5957 PO BOX 1450
    MINNEAPOLIS,MN55485
      PC FELLOWSHIP 92,500
    MAYO DEPT OF ORTHOPEDIC
    200 FIRST ST SW
    ROCHESTER,MN55905
      PC FELLOWSHIP 70,000
    RUSH UNIVERSITY MEDICAL CENTER DEPT OF NEUROSURGERY
    1725 W HARRIOSN SUITE 855
    CHICAGO,IL60612
      PC FELLOWSHIP 37,500
    RUTGERS UNIVERSITY FOUNDATION
    1725 W HARRIOSN SUITE 855
    CHICAGO,IL60612
      PC FELLOWSHIP 70,000
    MIDWEST ORTHOPAEDICS AT RUSH UNIVERSITY MEDICAL CENTER
    1611 W HARRISON SUITE 300
    CHICAGO,IL60612
      PC FELLOWSHIP 32,500
    UNIVERSITY OF WASHINGTON
    12455 COLLECTIONS DRIVE
    CHICAGO,IL60693
      PC FELLOWSHIP 100,000
    SAINT LOUIS UNIVERSITY
    3700 WEST PINE MALL SUITE 357
    ST LOUIS,MO63108
      PC FELLOWSHIP 30,000
    WILLIAM BEAUMONT HOSPITAL
    700 ROSEDALE AVE BOX 1034
    ST LOUIS,MO63112
      PC FELLOWSHIP 4,500
    WASHINGTON UNIVERSITY
    CAMPUS BOX 1034 700 ROSEDALE AVE
    ST LOIUS,MO63112
      PC FELLOWSHIP 117,500
    THE CURATORS OF THE UNIVERSITY OF MISSOURI
    115 BUSINESS LOOP 70W
    COLUMBIA,MO65212
      PC FELLOWSHIP 162,377
    ST JOHN HEALTH SYSTEM FOUNDATION INC
    1923 SOUTH UTICA AVE
    TULSA,OK74104
      PC FELLOWSHIP 62,500
    THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON
    7000 FANNIN ST 1200
    HOUSTON,TX77030
      PC FELLOWSHIP 82,460
    DENVER HEALTH FOUNDATIONS
    PO BOX 17093
    DENVER,CO80217
      PC FELLOWSHIP 40,000
    UNIVERSITY OF UTAH
    590 WAKARA WAY
    SALT LAKE CITY,UT84108
      PC FELLOWSHIP 70,000
    CEDARS-SINAI MEDICAL CENTER PROGRAM
    8700 BEVERLY BKVD
    LOS ANGELES,CA90048
      PC FELLOWSHIP 70,000
    UNIVERSITY OF SOUTHERN CALIFORNIA
    PO BOX 52095
    LOS ANGELES,CA90074
      PC FELLOWSHIP 137,500
    SAN FRANCISCO GENERAL HOSPITAL FOUNDATION
    1001 POTRERO AVENUE
    SAN FRANCISCO,CA94110
      PC FELLOWSHIP 97,350
    UC REGENTS - SF NEURO
    505 PARNASSUS AVE M779
    SAN FRANCISCO,CA94143
      PC FELLOWSHIP 37,500
    REGENTS OF THE UNIVERSITY OF CALIFORNIA
    PO BOX 989062
    WEST SACRAMENTO,CA95798
      PC FELLOWSHIP 142,500
    UC REGENTS
    DEPT OF ORTHOPAEDICS 4860 Y STREET
    SUITE 3800
    SACRAMENTO,CA95817
      PC FELLOWSHIP 17,768
    Total .................................bullet 3a 3,610,746
    bApproved for future payment
    ALBERTA SPINE FOUNDATION
    1403 29TH ST SOUTH
    ALBERTA,ALBERTA  
    CA
      PC FELLOWSHIP 32,500
    ALLEGHENY HEALTH NETWORK MEDICAL EDUCATION CONSORTIUM
    1307 FEDERAL ST 2ND FLOOR
    PITTSBURGH,PA15212
      PC FELLOWSHIP 30,000
    AUGUSTA UNIVERSITY RESEARCH INSTITUTE INC
    PO BOX 94552
    ATLANTA,GA30912
      PC FELLOWSHIP 32,500
    CAROLINAS MEDICAL CENTER
    1320 SCOTT AVENUE PO BOX 32861
    CHARLOTTE,NC28232
      PC FELLOWSHIP 30,000
    CEDARS-SINAI MEDICAL CENTER PROGRAM
    8700 BEVERLY BKVD
    LOS ANGELES,CA90048
      PC FELLOWSHIP 30,000
    CENTER FOR SPINE HEALTH
    CLEVELAND CLINIC HEALTH SYSTEMS
    9500 EUCLID AVE A41
    CLEVELAND,OH44195
      PC FELLOWSHIP 32,500
    CONGRESS MEDICAL FOUNDATION
    800 SOUTH RAYMOND AVE
    PASADENA,CA91105
      PC FELLOWSHIP 5,000
    DALHOUSIE UNIVERSITY QE II HSC
    1976 SUMMER ST ROOM 4875 HI SITE QE
    II HSC
    HALIFAX,HALIFAX  
    CA
      PC FELLOWSHIP 36,500
    EMORY UNIVERSITY
    1599 CLINTON ROAD 4TH FL
    ATLANTA,GA30322
      PC FELLOWSHIP 32,500
    ERLANGER HEALTH SYSTEMS
    975 EAST 3RD STREET HOSPITAL BOX
    260
    CHATTANOOGA,TN37403
      PC FELLOWSHIP 30,000
    HOSPITAL FOR SPECIAL SURGERY
    535 EAST 70TH STREET
    NEW YORK,NY10021
      PC FELLOWSHIP 62,500
    INDIANA ORTHOPAEDIC HOSPITAL
    8450 NORTHWEST BLVD
    INDIANAPOLIS,IN46278
      PC FELLOWSHIP 30,000
    INDIANA UNIVERSITY
    PO BOX 7800
    DETROIT,MI48278
      PC FELLOWSHIP 30,000
    JOHN HOPKINS UNIVERSITY
    600 N WOLFE ST ROOM 381
    BALTIMORE,MD21287
      PC FELLOWSHIP 65,000
    JOHNS HOPKINS UNIVERSITY (NORA DEVELIN)
    600 N WOLFE ST ROOM 381
    BALTIMORE,MD21287
      PC FELLOWSHIP 7,500
    MASSACHUSETTS GENERAL HOSPITAL
    DIVISION OF ORTHOPAEDICS 55 FRUIT
    ST
    BOSTON,MA02114
      PC FELLOWSHIP 30,000
    MAYO DEPARTMENT OF ORTHOPEDIC SURGERY
    200 FIRST ST SW
    ROCHESTER,MN55905
      PC FELLOWSHIP 32,500
    MEDICAL UNIVERSITY OF SOUTH CAROLINA
    171 ASHLEY AVENUE
    CHARLESTON,SC29425
      PC FELLOWSHIP 500
    MIDWEST ORTHOPAEDICS AT RUSH UNIVERSITY MEDICAL CENTER
    1611 W HARRISON SUITE 300
    CHICAGO,IL60612
      PC FELLOWSHIP 32,500
    NORTHWESTERN UNIVERSITY
    633 CLARK ST
    EVANSTON,IL60208
      PC FELLOWSHIP 7,500
    ORTHOCAROLINA SPINE CENTER
    2001 RANDOLPH RD
    CHARLOTTE,NC28207
      PC FELLOWSHIP 32,500
    RIMUHC
    1001 DECARIE BLVD
    MONTREAL,QUEBEC  
    CA
      PC FELLOWSHIP 32,500
    ROTHMAN INSTITUTE
    925 CHESTNUT ST 5TH FL
    PHILADELPHIA,PA19107
      PC FELLOWSHIP 5,100
    RUTGERS UNIVERSITY FOUNDATION
    1725 W HARRIOSN SUITE 855
    CHICAGO,IL60612
      PC FELLOWSHIP 30,000
    SAINT LOUIS UNIVERSITY
    3700 WEST PINE MALL SUITE 357
    ST LOUIS,MO63108
      PC FELLOWSHIP 30,000
    SFGH FOUNDATION
    1001 POTRERO AVENUE
    SAN FRANCISCO,CA94110
      PC FELLOWSHIP 35,000
    ST JOHN HEALTH SYSTEM FOUNDATION INC
    1923 SOUTH UTICA AVE
    TULSA,OK74104
      PC FELLOWSHIP 30,000
    STANFORD UNIVERSITY
    450 SERRA MALL
    STANFORD,CA94305
      PC FELLOWSHIP 4,994
    STANFORD UNIVERSITY PROGRAM
    450 SERRA MALL
    STANFORD,CA94305
      PC FELLOWSHIP 5,000
    SUNNYBROOK ORTHOPAEDIC ASSOCIATES
    2075 BAYVIEW AVE RM MG 317
    TORONTO    
    CA
      PC FELLOWSHIP 30,000
    TAMPA GENERAL HOSPITAL
    5 TAMPA GENERAL CIRCLE STE 710
    TAMPA,FL33606
      PC FELLOWSHIP 30,000
    THE CURATORS OF THE UNIV OF MISSOURI
    115 BUSINESS LOOP 70W
    COLUMBIA,MO65212
      PC FELLOWSHIP 67,400
    THE METROHEALTH FOUNDATION
    2500 METROHEALTH DRIVE TOWERS 135A
    CLEVELAND,OH44109
      PC FELLOWSHIP 30,423
    THE RECTOR AND VISITORS OF THE UNIVERSITY OF VIRGINIA
    210 SPRIGG LN
    CHARLOTTESVILLE,VA22903
      PC FELLOWSHIP 32,500
    THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
    1608 RHODE ISLAND AVE NW
    WASHINGTON,DC20036
      PC FELLOWSHIP 62,500
    THE ROTHMAN ORTHOPAEDIC INSTITUTE
    925 CHESTNUT ST 5TH FL
    PHILADELPHIA,PA19107
      PC FELLOWSHIP 793
    THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON
    7000 FANNIN ST 1200
    HOUSTON,TX77030
      PC FELLOWSHIP 30,000
    THE UNIVERSITY OF VERMONT & STATE AGRICULTURAL COLLEGE
    95 CARRIGAN DR
    BURLINGTON,VT05405
      PC FELLOWSHIP 500
    THOMAS JEFFERSON UNIVERSITY
    1020 WALNUT STREET
    PHILADELPHIA,PA19107
      PC FELLOWSHIP 971
    UBC DEPT OF ORTHOPAEDICS
    2275 LAUREL STREET
    VANCOUVER,BRISTH COLUMBIA  
    CA
      PC FELLOWSHIP 32,500
    UCI MEDICAL CENTER
    101 THE CITY DR S
    ORANGE,CA92868
      PC FELLOWSHIP 500
    UNIVERSITY HEALTH NETWORK CO FEHLINGS
    399 BATHURST STREET SUITE 4W-449
    TORONTO,ONTARIO  
    CA
      PC FELLOWSHIP 32,500
    UNIVERSITY OF ALABAMA AT BIRMINGHAM
    510 20TH ST SOUTH FOT 901
    BIRMINGHAM,AL35294
      PC FELLOWSHIP 32,500
    UNIVERSITY OF BRITISH COLUMBIA
    2329 WEST MALL
    VANCOUVER,BRISTH COLUMBIA  
    CA
      PC FELLOWSHIP 10,924
    UNIVERSITY OF CALGARY
    2500 UNIVERSITY DR NW
    CALGARY,ALBERTA  
    CA
      PC FELLOWSHIP 5,000
    UNIVERSITY OF CALIFORNIA SAN FRANCISCO
    PO BOX 748872
    LOS ANGELES,CA90074
      PC FELLOWSHIP 32,500
    UNIVERSITY OF MARYLAND MEDICAL SYSTEM FOUNDATION
    110 S PACA ST FLOOR 6
    BALTIMORE,MD21201
      PC FELLOWSHIP 32,500
    UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
    100 S PENN STREET
    BALTIMORE,MD21201
      PC FELLOWSHIP 5,000
    UNIVERSITY OF MARYLAND BALTIMORE
    22 S GREENE ST T3N15
    BALTIMORE,MD21201
      PC FELLOWSHIP 30,500
    UNIVERSITY OF PENNSYLVANIA
    1 COLLEGE HALL
    PHILADELPHIA,PA19104
      PC FELLOWSHIP 1,000
    UNIVERSITY OF PITTSBURGH
    200 MEYRAN AVE STE 318
    PITTSBURGH,PA15213
      PC FELLOWSHIP 500
    UNIVERSITY OF ROCHESTER
    DEPT OF ORTHOPAEDIC SURGERY 910
    GENESEE ST
    ROCHESTER,NY14642
      PC FELLOWSHIP 32,500
    UNIVERSITY OF SOUTHERN CALIFORNIA
    PO BOX 52095
    LOS ANGELES,CA90074
      PC FELLOWSHIP 102,500
    UNIVERSITY OF UTAH
    590 WAKARA WAY
    SALT LAKE CITY,UT84108
      PC FELLOWSHIP 33,450
    UNIVERSITY OF WASHINGTON
    12455 COLLECTIONS DRIVE
    CHICAGO,IL60693
      PC FELLOWSHIP 95,000
    UNIVERSTIY OF MASSACHUSETTS WORCESTER
    55 N LAKE AVE
    WORCESTER,MA01655
      PC FELLOWSHIP 5,000
    VANCOUVER ORTHOPAEDIC TRAUMA SOCIETY
    2775 LAUREL ST
    VANCOUVER    
    CA
      PC FELLOWSHIP 30,000
    VANDERBILT UNIVERSITY MEDICAL CENTER
    1215 21ST AVE SOUTH MCE SOUTH TOWER
    NASHVILLE,TN37232
      PC FELLOWSHIP 30,000
    VIRGINIA COMMEONWEALTH UNIVERSITY
    907 FLOYD AVE
    RICHMOND,VA23284
      PC FELLOWSHIP 5,000
    WAKE FOREST UNIVERSITY HEALTH SCIENCES (ADMIN ASSISTANT)
    DEPT OF ORTHO MEDICAL CENTER BLVD
    WINSTON SALEM,NC27157
      PC FELLOWSHIP 14,750
    WASHINGTON UNIVERSITY
    CAMPUS BOX 1034 700 ROSEDALE AVE
    ST LOIUS,MO63112
      PC FELLOWSHIP 30,000
    WILLIAM BEAUMONT HOSPITAL
    700 ROSEDALE AVE BOX 1034
    ST LOUIS,MO63112
      PC FELLOWSHIP 500
    WVU DEPARTMENT OF ORTHOPAEDICS
    3702 HEALTH SCIENCE CENTER SOUTH
    MORGANTOWN,WV26506
      PC FELLOWSHIP 32,500
    YALE UNIVERSITY
    PO BOX 1873
    NEW HAVEN,CT06510
      PC FELLOWSHIP 30,000
    Total .................................bullet 3b 1,736,805
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........
        14 110,538  
    4 Dividends and interest from securities....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8 Gain or (loss) from sales of assets other than
    inventory ............
             
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 110,538 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    110,538
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2019)
    Form 990-PF (2019)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
    Yes
     
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
    Yes
     
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    1a(1) 5,500,000 AO NORTH AMERICA TRADE ASSOCIATION INC THE FILING ORGANIZATION HAS A CLOSE RELATIONSHIP WITH AO NORTH AMERICA TRADE ASSOCIATION, INC. FROM WHOM IT RECEIVES CASH CONTRIBUTIONS. THE ORGANIZATIONS SHARE A COMMON BOARD AND HAVE SIMILAR EXEMPT PURPOSES.
    1c 512,057 AO NORTH AMERICA TRADE ASSOCIATION INC THE FILING ORGANIZATION HAS A CLOSE RELATIONSHIP WITH AO NORTH AMERICA TRADE ASSOCIATION, INC. FROM WHOM IT RECEIVES MANAGEMENT SUPPORT IN THE FORM OF A SERVICES CONTRACT. THE AMOUNT OF SERVICES RENDERED REPORTED IS TREATED AS A NON-CASH CONTRIBUTION.
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    AO NORTH AMERICA TRADE ASSOCIATION INC 501(C)(6) THE FILING ORGANIZATION IS SUPPORTED BY AO NORTH AMERICA TRADE ASSOCIATION, INC., A SECTION 501(C)(6) MEMBERSHIP ORGANIZATION WHOSE EXEMPT PURPOSE ALIGNS WITH THE EXEMPT PURPOSE OF THE FILING ORGANIZATION. THE TWO ORGANIZATIONS ARE RELATED BY VIRTUE OF THEIR COMMON BOARDS AND THEIR SUPPORT OF MEDICAL RESEARCH AND FELLOWSHIPS.
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    Firm's EIN SmallBullet
    Firm's address SmallBullet


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    Form 990-PF (2019)
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