TY 2023 Form 990

(A) Name and business address	(B) Description of services	(C) Compensation
Goddard Associated 6025 S Quebec sr STE 365 Centennial,CO80111	Management Services	288,329
Cornell University 575 Lexington Ave 9th FL Box 76 New York,NY10022	Data Analysis	128,995
Vanderbilt University Medical Center 1211 MEDICAL CENTER DR Nashville,TN37232	Analytical Services	111,627
Harriet Schwarzman 33672-A Chula Vista Dana Point,CA92629	Marketing & Business	103,250
ANTONIO BATES BERNARD 3900 EAST MEXICO AVE 1300 DENVER,CO802108953	LAW SERVICES	101,010
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 5

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SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

Abdominal Core Health Quality Collaborative

Employer identification number

84-4009654

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2023

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..	0	1,154,751	523,165	717,667	1,048,300	3,443,883
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....						0
3	The value of services or facilities furnished by a governmental unit to the organization without charge..						0
4	Total. Add lines 1 through 3	0	1,154,751	523,165	717,667	1,048,300	3,443,883
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..						2,506,473
6	Public support. Subtract line 5 from line 4.						937,410

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
7	Amounts from line 4..	0	1,154,751	523,165	717,667	1,048,300	3,443,883
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	0	18	37	13	43	111
9	Net income from unrelated business activities, whether or not the business is regularly carried on..						0
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..	0	0	0	0	0	0
11	Total support. Add lines 7 through 10						3,443,994

Gross receipts from related activities, etc. (see instructions) ..................

1,373,152

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2023. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2022. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2023

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2023

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2023

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2023

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2023

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2023 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2023

Additional Data

Software ID:	23017437
Software Version:	2023v5.1

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Name of the organization

Abdominal Core Health Quality Collaborative

Employer identification number

84-4009654

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization Abdominal Core Health Quality Collaborative

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 3

Name of organization Abdominal Core Health Quality Collaborative		Employer identification number 84-4009654

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 4


Name of organization Abdominal Core Health Quality Collaborative			Employer identification number 84-4009654
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2023)

Additional Data

Software ID:	23017437
Software Version:	2023v5.1

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
Abdominal Core Health Quality Collaborative

Employer identification number
84-4009654

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) AMERICAN HERNIA SOCIETY 2508 W 71ST ST PRAIRIE VILLAGE,KS66208	65-0720354	501(C)(6)	30,000				GENERAL SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2023

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	Each grant to AHS requires that AHS first submit a written report to ACHQC on its expenditure of the grant and then that it submit that report before ACHQC will provide any further grants to AHS. If a grant is not be expended prior to the next annual grant, ACHQC would require that AHS submit an interim report on any expenditures under the grant and the intended use of and future expenditures under the grant.

Return Reference

Explanation

Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.

Each grant to AHS requires that AHS first submit a written report to ACHQC on its expenditure of the grant and then that it submit that report before ACHQC will provide any further grants to AHS. If a grant is not be expended prior to the next annual grant, ACHQC would require that AHS submit an interim report on any expenditures under the grant and the intended use of and future expenditures under the grant.

Schedule I (Form 990) 2023

Additional Data

Software ID:	23017437
Software Version:	2023v5.1

- TIN:

Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

Abdominal Core Health Quality Collaborative

Employer identification number

84-4009654

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... $

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ $

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No




Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990) 2023

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) Goddard Associates	See Part V	288,329	Mgmt. & Administrative Services		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference

Explanation

Schedule L, Part IV Explanation of Transaction

ABDOMINAL CORE HEALTH QUALITY COLLABORATIVE ENGAGED GODDARD AND ASSOCIATES FOR MANAGEMENT AND ADMINISTRATIVE SERVICES DURING 2023. CAROL GODDARD, FORMER EXECUTIVE DIRECTOR, AND NICOLE GODDARD, CURRENT EXECUTIVE DIRECTOR OF ABDOMINAL CORE HEALTH QUALITY COLLABORATIVE ARE THE OWNERS OF GODDARD AND ASSOCIATES. THIS TRANSACTION TOOK PLACE AT FAIR MARKET VALUE AND WAS APPROVED BY THE INDEPENDENT MEMBERS OF THE BOARD.

Schedule L (Form 990) 2023

Additional Data

Software ID:	23017437
Software Version:	2023v5.1

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

Abdominal Core Health Quality Collaborative

Employer identification number

84-4009654

Return Reference	Explanation
Form 990, Part III, Line 1 ORGANIZATION'S MISSION	COLLABORATION INCLUDES (I) WITH SURGEONS AND OTHER STAKEHOLDERS IN THE PROVISION OF CARE THROUGH THE ABDOMINAL CORE HEALTH QUALITY COLLABORATIVE WHICH GATHERS, ANALYZES, COLLABORATIVELY SHARES, AND PUBLISHES DATA RELATING TO THE SURGICAL INTERVENTION AND TREATMENT OF HERNIA, ABDOMINAL CORE, AND ABDOMINAL WALL DISEASE IN HUMAN PATIENTS WITHIN THE UNITED STATES, UTILIZING A WEB-BASED DATA COLLECTION SYSTEM, CURRENTLY FOUND AT ACHQC.ORG AND (II) WITH PATIENTS THROUGH THE ACHQC PATIENT ENGAGEMENT & ADVOCACY COMMITTEE.
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 4,200 including grants of $ 0)(Revenue $ 0) IN 2023, ACHQC CONTINUED THE EXPANSION OF EMBEDDED REGISTRY-BASED STUDIES TO USE QC DATA TO CONDUCT PROSPECTIVE STUDIES RELATED TO THE SURGICAL CARE OF HERNIAS AND ABDOMINAL CORE DISEASES AND SIGNIFICANTLY FOR THE FUTURE EXPANSION OF THE REGISTRY, DEVELOPED THE PROTOCOLS AND VARIABLES TO EXPAND THE REGISTRY IN 2024 TO PROVIDE A HIATAL HERNIA MODULE WHICH WILL SUPPORT THE COLLECTION AND ANALYSES OF DATA ON HIATAL HERNIA SURGERIES.
Form 990, Part VI, Line 1a Material differences in voting rights	THERE ARE TWO CLASSES OF VOTING DIRECTORS ON THE ABDOMINAL CORE HEALTH QUALITY COLLABORATIVES (ACHQC) BOARD: 1) THE FIRST CLASS COMPRISES TWO THIRDS OF THE BOARD AND THESE DIRECTORS APPOINT THEIR REPLACEMENTS AND CAN REMOVE THE DIRECTORS IN THIS CLASS. 2) THE SECOND CLASS OF DIRECTORS COMPRISE THE OTHER ONE THIRD OF THE BOARD AND ARE APPOINTED AND REMOVED BY AMERICAS HERNIA SOCIETY, AND THESE DIRECTORS CANNOT VOTE TO APPOINT OR REMOVE THE DIRECTORS IN THE FIRST CLASS OF DIRECTORS.
Form 990, Part VI, Line 3 Delegation of management duties	THE ORGANIZATION ENGAGED GODDARD ASSOCIATES FOR THE MANAGEMENT AND ADMINISTRATIVE SERVICES DURING THE PERIOD 01/01/2023 TO 12/31/2023. DURING THAT ENTIRE PERIOD, NICOLE GODDARD WAS THE EXECUTIVE DIRECTOR OF ABDOMINAL CORE HEALTH QUALITY COLLABORATIVE AND WAS COMPENSATED $151,941 FOR HER WORK AS THE EXECUTIVE DIRECTOR OF ACHQC.
Form 990, Part VI, Line 6 Classes of members or stockholders	THERE ARE TWO CLASSES OF VOTING DIRECTORS ON THE ABDOMINAL CORE HEALTH QUALITY COLLABORATIVE'S (ACHQC) BOARD: 1) THE FIRST CLASS COMPRISES TWO THIRDS OF THE BOARD AND THESE DIRECTORS APPOINT THEIR REPLACEMENTS AND CAN REMOVE THE DIRECTORS IN THIS CLASS. 2) THE SECOND CLASS OF DIRECTORS COMPRISE THE OTHER ONE THIRD OF THE BOARD AND ARE APPOINTED AND REMOVED BY AMERICAS HERNIA SOCIETY, AND THESE DIRECTORS CANNOT VOTE TO APPOINT OR REMOVE THE DIRECTORS IN THE FIRST CLASS OF DIRECTORS. BASED UPON THIS SECOND CLASS OF BOARD APPOINTMENT AUTHORITY, AMERICAS HERNIA SOCIETY IS CONSIDERED A MEMBER OF ACHQC FOR FORM 990 REPORTING PURPOSES.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THERE ARE TWO CLASSES OF VOTING DIRECTORS ON THE ABDOMINAL CORE HEALTH QUALITY COLLABORATIVE'S (ACHQC) BOARD: 1) THE FIRST CLASS COMPRISES TWO THIRDS OF THE BOARD AND THESE DIRECTORS APPOINT THEIR REPLACEMENTS AND CAN REMOVE THE DIRECTORS IN THIS CLASS. 2) THE SECOND CLASS OF DIRECTORS COMPRISE THE OTHER ONE THIRD OF THE BOARD AND ARE APPOINTED AND REMOVED BY AMERICAS HERNIA SOCIETY, AND THESE DIRECTORS CANNOT VOTE TO APPOINT OR REMOVE THE DIRECTORS IN THE FIRST CLASS OF DIRECTORS. BASED UPON THIS SECOND CLASS OF BOARD APPOINTMENT AUTHORITY, AMERICAS HERNIA SOCIETY IS CONSIDERED A MEMBER OF ACHQC FOR FORM 990 REPORTING PURPOSES.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR AND PROVIDED TO THE BOARD WITH TIME TO REVIEW PRIOR TO ITS FILING WITH THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policy	CONFLICT OF INTEREST POLICY: AN ANNUAL CONFLICT OF INTEREST FORM IS COMPLETED BY EACH DIRECTOR AND FILED WITH THE ORGANIZATION WHICH IS REQUIRED TO BE UPDATED WITHIN 30 DAYS OF ANY CHANGE. ALSO, AT THE SEMI ANNUAL IN PERSON DIRECTOR MEETINGS, CONFLICTS ARE ANNOUNCED BY EACH DIRECTOR AT THE BEGINNING OF EACH MEETING. IF A CONFLICT OF INTEREST IS IDENTIFIED, THE PERSON WITH A CONFLICT RECUSES HIM OR HERSELF FROM THE DECISION-MAKING PROCESS AND THE INDEPENDENT MEMBERS OF THE BOARD VOTE ON WHETHER OR NOT THE ORGANIZATIONS INTERESTS ARE BEST SERVED BY PARTICIPATING IN THE TRANSACTION WITH A MEMBER WHO HAS A CONFLICT.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	The compensation of the President/CMO and VP/Director of Outcomes and Quality was determined by a formal compensation study through a retained, independent expert. The Executive Director is not compensated by ACHQC, but rather is compensated through Goddard Associates which is retained by ACHQC to manage its day-to-day operations under a negotiated management agreement.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	THE SALARIES OF THE PRESIDENT/MEDICAL DIRECTOR AND THE VICE PRESIDENT/DIRECTOR OF QUALITY AND OUTCOMES ARE THE SAME AS THEIR COMPENSATION PREVIOUSLY PAID BY AN AFFILIATED ORGANIZATION THAT HAS SINCE STATUTORILY MERGED INTO ABDOMINAL CORE HEALTH QUALITY COLLABORATIVE (ACHQC). COMPENSATION AT THAT AFFILIATED ORGANIZATION WAS SET IN 2016 BY PETER MITERKO OF COMPENSATION AND BENEFIT SOLUTIONS, LLC WHO ISSUED A SECTION 4958 OPINION ON COMPENSATION, AND THE OFFICER COMPENSATION HAS NOT CHANGED SINCE THEN. NO OTHER EMPLOYEE COMPENSATION IS SO REVIEWED, BUT NO OTHER EMPLOYEE IS COMPENSATED AT A RATE EXCEEDING $20/HOUR AND NONE WORK MORE THAN 20 HOURS PER MONTH.
Form 990, Part VI, Line 19 Required documents available to the public	In 2023, THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC WITHOUT A VALID BUSINESS PURPOSE. THE FORM 990 IS PROVIDED UPON REQUEST. Since April 1, 2024, a public version of ACHQC's Form 990 is posted on its website.
Form 990, Part VII, Section A Description of Compensation:	OFFICER MIKE ROSEN, PRESIDENT, ALSO SERVES AS CHIEF MEDICAL OFFICER. OFFICER BEN POULOSE, VICE PRESIDENT, ALSO SERVES AS DIRECTOR OF QUALITY AND OUTCOMES. BOTH ARE COMPENSATED PRIMARILY FOR THEIR EMPLOYEE ROLES VS THOSE OF THEIR OFFICER ROLES AS PRESIDENT AND VICE PRESIDENT, RESPECTIVELY.
Form 990, Part IX, Line 11g Other Fees	DATA COORDINATION - Total Expense: 240622, Program Service Expense: 240622, Management and General Expenses: , Fundraising Expenses: ; PROFESSIONAL FEES - Total Expense: 113006, Program Service Expense: 113006, Management and General Expenses: , Fundraising Expenses: ; EXECUTIVE CONTRACT - Total Expense: 103250, Program Service Expense: 82850, Management and General Expenses: , Fundraising Expenses: 20400; PAYROLL SERVICES - Total Expense: 3419, Program Service Expense: 3419, Management and General Expenses: , Fundraising Expenses: ;

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2023

Additional Data

Software ID:	23017437
Software Version:	2023v5.1

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	717,667	1,048,300
9	Program service revenue (Part VIII, line 2g) .........	292,470	112,000
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	13	43
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	187,266	244,000
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,197,416	1,404,343
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	5,000	32,500
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	425,212	302,173
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 20,400
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	805,350	970,437
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,235,562	1,305,110
19	Revenue less expenses. Subtract line 18 from line 12.......	-38,146	99,233
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	275,842	397,984
21	Total liabilities (Part X, line 26).............	0	0
22	Net assets or fund balances. Subtract line 21 from line 20.....	275,842	397,984

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 962,409 including grants of $ 32,500 ) (Revenue $ 336,650 )
	MANAGED AND GREW OUR ACHQC DATABASE OF REAL-WORLD DATA KNOWN AS THE ACHQC REGISTRY. BY THE END OF 2023, THE ACHQC REGISTRY INCLUDED DATA COLLECTED ON OVER 125,000 OPERATIONS PERFORMED BY 430 SURGEONS IN 45 STATES ACROSS THE USA. OVER 18,500 SURGICAL CASES WERE ADDED IN 2023. THE DATA SUPPORTED NUMEROUS ANALYSES OF THE REGISTRY'S REAL-WORLD DATA WHICH WERE MADE AVAILABLE TO OUR VOLUNTEER SURGEON COLLABORATORS WHO INPUT DATA FROM THEIR SURGERIES INTO THE ACHQC REGISTRY AND INDUSTRY COLLABORATORS FOR THEIR USE IN COLLABORATIVELY SHARING SUCH DATA AND TO OTHERWISE USE SUCH ANALYZED DATA TO IMPROVE QUALITY AND VALUE IN THE SURGICAL TREATMENT AND INTERVENTION IN HERNIA, ABDOMINAL CORE, AND ABDOMINAL WALL DISEASE.

4b	(Code: ) (Expenses $ 40,800 including grants of $ 0 ) (Revenue $ 19,350 )
	PROVIDED EDUCATIONAL PROGRAMS TO BOTH ACHQC VOLUNTEER SURGEONS WHO CONTRIBUTE DATA ON THEIR SURGERIES TO THE ACHQC REGISTRY AND TO ALL OTHER SURGEONS TO SHARE LESSONS LEARNED FROM THE DATA COLLECTED IN ORDER TO IMPROVE SURGICAL PRACTICE AND STANDARDS. INCLUDING: (1) THE 5TH ANNUAL QUALITY IMPROVEMENT SUMMIT WAS HELD AS AN IN-PERSON FORMAT IN 2023 AND HOSTED OVER 80 STAKEHOLDERS IN PATIENT CARE WHO IN A COLLABORATIVE INTERACTIVE LEARNING WEEKEND ANALYZED DATA, IDENTIFIED TIPS FROM HIGH PERFORMERS AND SHARE PRACTICES FOR QUALITY IMPROVEMENT IN PATIENT CARE, AND (2) A SEMI-MONTHLY VIRTUAL EDUCATIONAL PROGRAM, KNOWN AS QC CORE INSIGHTS, WHICH PROVIDES CRITICAL REVIEW OF HOT TOPICS IN HERNIA AND ABDOMINAL CORE HEALTH FOR THE IMPROVEMENT OF SURGICAL PRACTICE. THE QC CORE INSIGHTS PROGRAM IS FREELY DELIVERED ON A SEMI-MONTHLY BASIS VIA ZOOM WITH ON-DEMAND VIDEO RECORDINGS AVAILABLE TO THE PUBLIC ON THE ACHQC.ORG WEBSITE.

4c	(Code: ) (Expenses $ 6,000 including grants of $ 0 ) (Revenue $ 0 )
	IN 2023, ACHQC CONTINUED TO SUPPORT ITS PATIENT ENGAGEMENT AND ADVOCACY COMMITTEE AS A CRITICAL PART OF ACHQC'S MISSION BY SEEKING TO UNDERSTAND AND IMPROVE PATIENT EXPERIENCES BEFORE, DURING, AND AFTER SURGERY. THE COMMITTEE MET REGULARLY WITH A GROUP OF 6 PATIENTS AND 3 SURGEONS TO CONTINUE TO IDENTIFY PATIENT NEEDS AND DEVELOP EDUCATIONAL TOOLS AND PROGRAM THAT REFLECT THE PATIENT PERSPECTIVE. THE COMMITTEE PRESENTED A FEATURED PROGRAM ON PATIENT INSIGHTS AS PART OF ACHQC'S IN-PERSON 5TH ANNUAL QUALITY IMPROVEMENT SUMMIT IN DENVER, COLORADO.

	(Code: ) (Expenses $ 4,200 including grants of $ 0 ) (Revenue $ 0 )
	IN 2023, ACHQC CONTINUED THE EXPANSION OF EMBEDDED REGISTRY-BASED STUDIES TO USE QC DATA TO CONDUCT PROSPECTIVE STUDIES RELATED TO THE SURGICAL CARE OF HERNIAS AND ABDOMINAL CORE DISEASES AND SIGNIFICANTLY FOR THE FUTURE EXPANSION OF THE REGISTRY, DEVELOPED THE PROTOCOLS AND VARIABLES TO EXPAND THE REGISTRY IN 2024 TO PROVIDE A HIATAL HERNIA MODULE WHICH WILL SUPPORT THE COLLECTION AND ANALYSES OF DATA ON HIATAL HERNIA SURGERIES.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 4,200 including grants of $ ) (Revenue $ )
4e	Total program service expenses1,013,409

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)		(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(1) Benjamin Poulose MD Director and Vice President	25.0 ................. 0.0	X	X	46,878	0	0
(2) Jeremy Warren MD Director and Treasurer	2.0 ................. 0.0	X	X	0	0	0
(3) Michael Rosen MD Director, President, And CMO	25.0 ................. 0.0	X	X	124,992	0	0
(4) Anthony Iacco MD Director	1.3 ................. 0.0	X		0	0	0
(5) Arielle Perez MD Director	1.3 ................. 0.0	X		0	0	0
(6) Flavio Malcher MD Director	1.3 ................. 0.0	X		0	0	0
(7) Jacob Greenberg MD Director	1.3 ................. 0.0	X		0	0	0
(8) Michael Reinhorn MD Director	1.3 ................. 0.0	X		0	0	0
(9) Nicole White MD Director	1.3 ................. 0.0	X		0	0	0
(10) Rana Higgins MD Director	1.3 ................. 0.0	X		0	0	0
(11) Rebecca Peterson MD Director	1.3 ................. 0.0	X		0	0	0
(12) William Hope MD Director	1.3 ................. 0.0	X		0	0	0
(13) Nicole Goddard Executive Director	20.0 ................. 0.0		X	0	0	0

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)						(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title

1	Briefly describe the organization’s mission or most significant activities: ACHQC'S MISSION IS TO IMPROVE QUALITY AND VALUE IN THE SURGICAL TREATMENT OF HERNIA, ABDOMINAL CORE, AND ABDOMINAL WALL DISEASE THROUGH COLLABORATION USING DATA.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	12
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	3
6	Total number of volunteers (estimate if necessary) .............	6	400
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	171,870	0	0

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	44,165

f	All other contributions, gifts, grants, and similar amounts not included above		1f	1,004,135

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		1,048,300

		Business Code
2a	Data Processing/Analysis	518210	112,000	112,000
b
c
d
e
f	All other program service revenue.		0	0	0	0
g	Total. Add lines 2a–2f .....		112,000

3 Investment income (including dividends, interest, and othersimilar amounts) ......			43			43
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........			244,000	244,000
			(i) Real	(ii) Personal
6a	Gross rents	6a
b	Less: rental expenses	6b
c	Rental income or (loss)	6c	0	0
d	Net rental income or (loss).......
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a
b	Less: cost or other basis and sales expenses	7b
c	Gain or (loss)	7c	0	0
d	Net gain or (loss).........
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a
b
c
d	All other revenue ....			0	0	0	0
e	Total. Add lines 11a–11d ......			0
12	Total revenue. See instructions.....			1,404,343	356,000	0	43

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	30,000	30,000
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	2,500	2,500
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	124,992	124,992
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	165,717	165,717
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......
10	Payroll taxes ...........	11,464	11,464
11	Fees for services (non-employees):
a	Management ......	288,329	86,499	201,830
b	Legal .........	119,346	101,775	17,571
c	Accounting ...........	5,513		5,513
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	460,297	439,897	0	20,400
12	Advertising and promotion ....
13	Office expenses .......	48,487	40,852	7,635
14	Information technology ......	3,713	3,713
15	Royalties ..
16	Occupancy ...........
17	Travel ............
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	5,000	5,000
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..
23	Insurance ...	38,147		38,147
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	PATIENT ADVOCACY	1,000	1,000
b	MISCELLANEOUS EXPENSES	605		605
c
d
e	All other expenses	0	0	0	0
25	Total functional expenses. Add lines 1 through 24e	1,305,110	1,013,409	271,301	20,400
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			152,733	1	274,833
2	Savings and temporary cash investments .........			123,109	2	123,151
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............				4
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............				8
9	Prepaid expenses and deferred charges ......				9
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	0
b	Less: accumulated depreciation	10b	0	0	10c	0
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			0	12
13	Investments—program-related. See Part IV, line 11 ..			0	13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			0	15	0
16	Total assets. Add lines 1 through 15 (must equal line 33)...			275,842	16	397,984

17	Accounts payable and accrued expenses .....		17
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	0	25	0
26	Total liabilities. Add lines 17 through 25..	0	26	0

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........		27
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....	275,842	29	397,984
30	Paid-in or capital surplus, or land, building or equipment fund ...	0	30
31	Retained earnings, endowment, accumulated income, or other funds	0	31
32	Total net assets or fund balances ...........	275,842	32	397,984
33	Total liabilities and net assets/fund balances ........	275,842	33	397,984