Liabilities / Assets
23rd percentile
Higher debt load relative to assets than 23% of similar nonprofits.
EIN 91-1952283 • 501(c)3 • Richland, WA
Profile
Sign partners with overseas surgeons to build sustainable orthopaedic capacity by donating education, instruments, and implants. By working with teaching hospitals and hosting educational conferences worldwide, sign equips surgeons to heal patients within their own communities.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
23rd percentile
Higher debt load relative to assets than 23% of similar nonprofits.
Liabilities / Revenue
22nd percentile
Higher debt load relative to revenue than 22% of similar nonprofits.
Net Margin
53rd percentile
Higher net margin than 53% of similar nonprofits.
Top Officer Pay
55th percentile
Higher top officer pay than 55% of similar nonprofits.
Top officer pay equals 2.8% of source-year revenue.
Asset Growth
49th percentile
Faster asset growth than 49% of similar nonprofits.
Revenue Growth
61st percentile
Faster revenue growth than 61% of similar nonprofits.
Assets
Up$15,598,095
Up $617,487 (+4.1%) from 2023
Liabilities
Down$407,801
Down $59,562 (-13%) from 2023
Net Assets
Up$15,190,294
Up $677,049 (+4.7%) from 2023
Revenue
Up$7,005,562
Up $800,351 (+13%) from 2023
Expenses
Down$6,624,843
Down $622,117 (-8.6%) from 2023
Net Income
Up$380,719
Up $1,422,468 (+137%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
Sign partners with overseas surgeons to build sustainable orthopaedic capacity by donating education, instruments, and implants. By working with teaching hospitals and hosting educational conferences worldwide, sign equips surgeons to heal patients within their own communities.
Give patients access to affordable and effective orthopaedic care in lmic.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $5,066,619 | $5,531,828 | ▲ $465,209 |
| Land, Buildings, and Equipment, Net | $4,947,637 | $4,971,812 | ▲ $24,175 |
| Savings and Temporary Cash Investments | $2,403,653 | $1,987,581 | ▼ $416,072 |
| Cash and Non-Interest-Bearing Accounts | $1,121,718 | $1,813,294 | ▲ $691,576 |
| Inventories for Sale or Use | $1,200,185 | $1,036,574 | ▼ $163,611 |
| Prepaid Expenses and Deferred Charges | $162,094 | $137,011 | ▼ $25,083 |
| Accounts Receivable | $66,958 | $110,680 | ▲ $43,722 |
| Intangible Assets | $11,744 | $9,315 | ▼ $2,429 |
| Total Assets | $14,980,608 | $15,598,095 | ▲ $617,487 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $467,363 | $407,801 | ▼ $59,562 |
| Total Liabilities | $467,363 | $407,801 | ▼ $59,562 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $13,499,738 | $14,326,232 | ▲ $826,494 |
| Net Assets With Donor Restrictions | $1,013,507 | $864,062 | ▼ $149,445 |
| Total Net Assets Fund Balance | $14,513,245 | $15,190,294 | ▲ $677,049 |
| Total Liabilities and Net Assets / Fund Balance | $14,980,608 | $15,598,095 | ▲ $617,487 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $1,231,936 | $2,029,392 | $3,261,328 |
| Leasehold Improvements | $1,150,626 | $893,712 | $2,044,338 |
| Buildings | $1,259,180 | $372,208 | $1,631,388 |
| Other Land Buildings | $450,070 | $480,039 | $930,109 |
| Land | $880,000 | - | $880,000 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Jeanne Dillner | Secretary/treasurer/CEO | FT | $182,707 | $16,273 | $198,980 |
| Terry Smith | Engineering Manager | FT | $161,840 | $6,738 | $168,578 |
| Robert Schmitt | Regulatory Affairs Manager | FT | $138,208 | $14,493 | $152,701 |
| Brian Barnes | It Manager | FT | $128,507 | $13,856 | $142,363 |
| Franklyn Faultersack | Quality Assurance Manager | FT | $110,779 | $30,928 | $141,707 |
| Joel Gillard | Senior R&d Engineer | FT | $116,464 | $15,418 | $131,882 |
| Name | Title |
|---|---|
| Lewis G Zirkle Md | President/founder |
| David Shearer Md | Vice President |
| Ann Penner | Board Member |
| Ben Rivera | Board Member |
| Carla Smith Md Phd | Board Member |
| Daniele Sciuto Md | Board Member |
| Michael Coscia Md | Board Member |
| Patrick Yoon Md | Board Member |
| Randall Huebner | Board Member |
| Richard Gellman Md | Board Member |
| Stephen Schwartz | Board Member |
| Contribution Type | Contribution Count | Reported Amount | Valuation Method |
|---|---|---|---|
| Drugs and Medical Supplies | 30 | $350,914 | Fair Value |
| Securities Publicly Traded | 5 | $80,670 | Fair Value |
| Other Non Cash Contri Table | 6 | $27,215 | Fair Value |
| Other Non Cash Contri Table | 5 | $18,361 | Fair Value |
| Other Non Cash Contri Table | 19 | $16,697 | Fair Value |
| Food Inventory | 1 | $3,300 | Fair Value |
| Books and Publications | - | $880 | Fair Value |
| Clothing and Household Goods | - | $720 | Fair Value |
| Total Noncash Contributions | 66 | $498,757 | - |
| Line Item | Amount |
|---|---|
| Other Expenses | $3,654,989 |
| Salaries, Compensation, and Employee Benefits | $2,780,029 |
| Total Fundraising Expense | $617,545 |
| Grants and Similar Amounts Paid | $189,825 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $1,958,215 | $224,138 | $412,986 | $2,595,339 |
| Depreciation Depletion | $204,355 | $15,012 | $28,118 | $247,485 |
| Foreign Grants | $189,825 | - | - | $189,825 |
| Current Officers, Directors, Trustees, and Key Employees | $148,232 | $13,852 | $22,606 | $184,690 |
| Conferences and Meetings | $178,391 | - | - | $178,391 |
| All Other Expenses | $114,067 | $18,617 | $19,133 | $151,817 |
| Fees for Services Other | $47,539 | $30,513 | $42,396 | $120,448 |
| Other Expenses | $30,838 | $19,668 | $23,797 | $74,303 |
| Travel | $48,083 | $1,521 | $1,564 | $51,168 |
| Fees for Service Investment Mgmnt Fees | - | $24,567 | - | $24,567 |
| Insurance | $14,108 | $1,600 | $2,933 | $18,641 |
| Occupancy | $7,728 | $196 | $359 | $8,283 |
| Total Functional Expenses | $5,644,852 | $362,446 | $617,545 | $6,624,843 |
| Line Item | Amount |
|---|---|
| Total Expenses per Audited Statements | $8,951,719 |
| Expenses per Audited Statements | $6,624,843 |
| Total Expenses per Form 990 | $6,624,843 |
| Expenses Not Reported on Form 990 | $2,326,876 |
| Expenses Not Reported on Financial Statements | $0 |
| Region | Activity | Services | Offices | Employees | Spending |
|---|---|---|---|---|---|
| Sub-saharan Africa | Program Services | Orthopaedic Implants | 0 | 0 | $3,968,565 |
| South Asia | Program Services | Orthopaedic Implants | 0 | 0 | $1,402,506 |
| East Asia and the Pacific | Program Services | Orthopaedic Implants | 0 | 0 | $300,295 |
| Sub-saharan Africa | Grants | Training, Implants, Stipend | 0 | 0 | $187,466 |
| Central America and the Caribbean | Program Services | Orthopaedic Implants | 0 | 0 | $90,035 |
| Middle East and North Africa | Program Services | Orthopaedic Implants | 0 | 0 | $29,740 |
| South America | Program Services | Orthopaedic Implants | 0 | 0 | $27,095 |
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $17,608 |
| Fundraising Gross Income | $12,916 |
| Professional Fundraising Fees | $0 |
| Event | Gross Receipts | Gross Revenue | Direct Expenses | Net Income |
|---|---|---|---|---|
| Tri-city Benefit | $97,906 | $12,916 | $4,692 | $8,224 |
| Total Events | $97,906 | $12,916 | $17,608 | $-4,692 |
“A draft of form 990 is provided to sign's ceo. The form 990 is presented for review to the board of directors. Any changes are then directed to the return preparer and addressed before the final return is filed.”
“The conflict of interest policy is monitored and reviewed by the chief compliance officer. The chief compliance officer requests annual conflict of interest statements from each board member. The statements are reviewed with the ceo/secretary and dispositioned. The president is briefed on findings along with the full board.”
“An annual performance review is conducted for all employees including the ceo. The entity's size, industry, type of organization, and position of responsibilities are considered in determining compensation adjustments. According to the organization's by-laws, the president is authorized to conduct the ceo's annual review and determine compensation. The organization utilizes a subscription to payscale which provides accurate salary information to establish pay ranges for employees. Payscale also allows the organization to input performance ranking data in order to obtain "recommended raises" via those ranks juxtaposed with where each individual's current salary lands in the salary range for their position.”
“The public may contact the organization at it's physical location to request copies of its governing documents, conflicts of interest policy, and financial statements.”
“Sign's vison is to create equality of fracture care throughout the world. In implementing its vision, sign empowers surgeons, implants hope and restores the lives of the injured poor around the world. Sign surgery enables people with severely broken bones to walk and return home within one week of surgery and return to normal function within a few weeks. Sign's mission is to give the injured poor access to fracture surgery by donating orthopaedic education and implant systems to surgeons in developing countries. Sign builds sustainable orthopaedic capacity in low- and middle-income countries (lmic) by educating local surgeons to care for and treat patients in their home communities. Sign equips the surgeons with the skills and tools they need, enabling them to provide ongoing care and support to their patients. This education is augmented through the provision of a sustainable supply of orthopaedic implants and instruments designed for use in low-resource hospital conditions. By empowering surgeons in lmic, these surgeons are able to achieve equitable results in the treatment they provide to patients in their communities. Sign designs and manufactures the sign im nail system which is designed for use in austere operating room conditions. Sign fracture care international is registered with the united states food and drug administration (fda). Sign manufactures finished medical devices in compliance with the code of federal regulations, fda quality system regulation. Sign maintains a quality management system that is certified to be compliant with iso 13485:2016. Additionally, sign distributes in-kind donations of products not manufactured by sign to some of the busier programs. According to the world health organization (who), the epidemic of injuries caused by road traffic accidents, work injuries, and conflicts affects 20 to 50 million people every year. Ninety percent of the people injured live in lmic where access to adequate care is limited. By equipping local surgeons with the skills and tools they need, sign enables them to provide ongoing care and support to their patients. This empowerment uplifts recipients and their families, enabling them to break free from the cycle of poverty. There are approximately 7,000 surgeons in more than 410 hospitals in 57 lmic which have benefited from sign education and the provision of implants and instruments. With more than 400,000 surgeries to date, and with an average family size of five, this means sign has touched and improved the lives of over 2 million people. Sign also responds to disasters and conflicts in locations where sign has existing programs or where sign programs need to be developed. Since electricity and other resources typically found in operating rooms aren't needed to perform sign surgery, it is an effective means to reduce the number of permanent disabilities for injured people following a natural disaster or conflict.”
“The organization has not changed their oversight process or selection process of selecting an independent auditor during the tax year.”
“Management has evaluated the organization's tax positions and concluded that the organization has taken no uncertain tax positions that require adjustments to the financial statements.”
“Rental expenses 17,678. Special event expenses 17,608. Loss on disposal of equipment 11,608.”
“Rental expenses 17,678. Loss on disposal of equipment 11,608. Special event expenses 17,608.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 110680 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | GIVE PATIENTS ACCESS TO AFFORDABLE AND EFFECTIVE ORTHOPAEDIC CARE IN LMIC. |
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| IRS990/Desc | 0 | NEARLY HALF OF THE WORLD LIVES ON LESS THAN $8.30 PER DAY. PATIENTS ARE TOO POOR TO BUY THE IMPLANTS NEEDED, AND MOST HOSPITALS DO NOT HAVE THE RESOURCES TO PURCHASE THE IMPLANTS. WHEN A PERSON LIVING IN A LOW- OR MIDDLE-INCOME COUNTRY (LMIC) BREAKS AN ARM OR LEG AND CANNOT AFFORD APPROPRIATE CARE, IT CAN EASILY SEND THEIR WHOLE FAMILY SPIRALING INTO POVERTY. WE DEVELOPED AN INNOVATIVE IMPLANT SYSTEM FOR TREATING PATIENTS IN LOW-RESOURCE HOSPITALS. THIS SYSTEM CAN BE USED WITHOUT EXPENSIVE X-RAY IMAGING OR ELECTRICITY. SIGN SURGERY TYPICALLY ENABLES A PATIENT WITH A FRACTURED BONE TO WALK IN 1 DAY, LEAVE THE HOSPITAL IN 1 WEEK, AND BE BACK AT WORK IN 1 MONTH. THE PATIENT AVOIDS POSSIBLE PERMANENT DISABILITY AND IS RETURNED TO MOBILITY. SEE SCHEDULE O ON HOW WE DISTRIBUTE APPROPRIATE ORTHOPAEDIC TECHNOLOGY.DISTRIBUTE APPROPRIATE ORTHOPAEDIC TECHNOLOGY:THE SIGN IM NAIL AND INTERLOCKING SCREW SYSTEM IS DESIGNED FOR USE IN HOSPITALS IN DEVELOPING COUNTRIES WHERE C-ARMS AND RELIABLE POWER ARE NOT AVAILABLE. SIGN ENGINEERS CONTINUALLY DEVELOP NEW ORTHOPAEDIC INSTRUMENTS AND IMPLANTS IN RESPONSE TO THE NEEDS DESCRIBED BY THE LOCAL SURGEONS. IN 2024, THE ELBOW PLATE BENDING TEMPLATE WAS RELEASED. THE ELBOW PLATE BENDING TEMPLATE IS USED TO CONTOUR SMALL BONE FRAGMENTARY PLATES, SUCH AS THE SIGN FX PLATES, TO MATCH THE ANATOMY OF THE DISTAL HUMERUS AND OLECRANON WHEN STABILIZING ELBOW FRACTURES. THE TEMPLATE CAN BE USED WITH NON-SIGN PRODUCTS (LIKE THE 3.5MM RECONSTRUCTION PLATES) AND BOTH BEFORE AND DURING SURGERY.WE SUPPLY NEW SIGN PROGRAMS WITH THE SIGN IM NAIL SYSTEM, WHICH SURGEONS USE TO REPAIR SEVERE FRACTURES IN THE FEMUR, TIBIA, AND HUMERUS. ONCE A PROGRAM HAS DEMONSTRATED ITS ABILITY TO REPORT THEIR CASES, INCLUDING ADEQUATE FOLLOW-UP THAT CONFIRMS THEIR RESULTS COMPLY WITH OUR EXPECTATIONS, THEY BECOME ELIGIBLE TO RECEIVE ADDITIONAL SIGN PRODUCTS, AS WELL AS IN-KIND DONATIONS RECEIVED FROM FOR-PROFIT ORTHOPAEDIC IMPLANT COMPANIES.IN 2024, WE DISTRIBUTED 27,107 SIGN NAILS TO 48 COUNTRIES. OUR AIM IS TO ENABLE THE POOR TO GAIN ACCESS TO AFFORDABLE ORTHOPAEDIC SURGERY, WHICH MEANS THE MAJORITY OF OUR IMPLANTS ARE DONATED FREE OF CHARGE TO THE PATIENT.WE STARTED 22 NEW SIGN PROGRAMS IN 2024. THE BREAKDOWN WAS AS FOLLOWS: AFRICA: 15 PROGRAMS ASIA: 6 PROGRAMS NORTH AMERICA: 1 (HAITI)WE HAVE ALSO BEGUN DEVELOPING A NEW KIND OF PROGRAM, FOCUSED ON PROVIDING EDUCATION AND IMPLANTS RELATING TO TREATING SPINE FRACTURES. THIS NEW PROGRAM IS REFERRED TO AS SIGN SPINE. WE STARTED SIGN SPINE PROGRAMS IN KENYA AND TANZANIA IN 2024 AND ARE PROJECTED TO START FIVE ADDITIONAL SIGN SPINE PROGRAMS IN THE COMING YEAR. AS OF DECEMBER 31, 2024, THE WORLD BANK INCOME CLASSIFICATIONS BY GNI FOR THE COUNTRIES WITH NEW SIGN PROGRAMS WERE AS FOLLOWS: LOW INCOME: 48% LOWER MIDDLE INCOME: 44% UPPER MIDDLE INCOME: 8%DISASTER AND CONFLICT RESPONSE:WE BELIEVE IN EQUALITY OF FRACTURE CARE FOR ALL, REGARDLESS OF GENDER, RELIGION, POLITICAL AFFILIATION, OR ANY OTHER IDENTITY. WE CONTINUE TO SUPPORT THE 17 SIGN PROGRAMS IN HAITI AS BEST AS WE ARE ABLE. THE ONGOING GANG VIOLENCE IN THE COUNTRY LIMITS OUR ABILITY TO PROVIDE REPLACEMENT SIGN IMPLANTS AND INSTRUMENTS AS AIRLINES ROUTINELY CANCEL FLIGHTS. WE CONTINUE TO COMMUNICATE WITH THE SURGEONS IN-COUNTRY AND SEND REPLACEMENT SIGN IMPLANTS AND INSTRUMENTS THROUGH AVAILABLE AVENUES AS THEY APPEAR.IN LATE 2024, A STUDENT-LED MOVEMENT OUSTED THE CURRENT PRIME MINISTER OF BANGLADESH. THE FALLOUT OF THE MOVEMENT RESULTED IN AN INCREASE IN VIOLENCE FROM VARIOUS INTERNAL GROUPS. A LOCAL SIGN SURGEON ALERTED US TO THE INCREASE IN FRACTURE PATIENTS IN THE WEEKS FOLLOWING THE OUSTING OF THE FORMER PRIME MINISTER AND REQUESTED ADDITIONAL SIGN NAILS AND INSTRUMENT SETS TO TREAT THE INFLUX OF PATIENTS. IN RESPONSE TO THEIR REQUEST, WE PROVIDE TWO ADDITIONAL SIGN SETS AND 130 SIGN NAILS TO ASSIST WITH THE INCREASED PATIENT LOAD.IN MYANMAR, THE EFFECTS OF THE MILITARY COUP ARE STILL FELT BY THE POOR POPULATION, AND ACCESS TO F |
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| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | ROBERT SCHMITT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | TERRY SMITH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | BRIAN BARNES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | JOEL GILLARD |
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| IRS990/MissionDesc | 0 | SIGN PARTNERS WITH OVERSEAS SURGEONS TO BUILD SUSTAINABLE ORTHOPAEDIC CAPACITY BY DONATING EDUCATION, INSTRUMENTS, AND IMPLANTS. BY WORKING WITH TEACHING HOSPITALS AND HOSTING EDUCATIONAL CONFERENCES WORLDWIDE, SIGN EQUIPS SURGEONS TO HEAL PATIENTS WITHIN THEIR OWN COMMUNITIES. |
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| IRS990/ProgSrvcAccomActy2Grp/Desc | 0 | WE BUILD SUSTAINABLE ORTHOPAEDIC CAPACITY IN LMIC BY EDUCATING LOCAL SURGEONS TO CARE FOR PATIENTS IN THEIR HOME COMMUNITIES. FOR 26 YEARS, SIGN HAS BEEN WORKING ALONGSIDE SURGEONS IN LMIC, RAISING ORTHOPAEDIC KNOWLEDGE AND SKILL. WE NOW RELY ON SIGN SURGEON MENTORS TO PROVIDE EDUCATION TO NEW SURGEONS. ONCE NEW SURGEONS ARE TRAINED, THEY RECEIVE THEIR OWN STARTER SET OF THE SIGN IM NAIL SYSTEM WITH TRAINING MATERIALS INCLUDED. THE TRAINING MANUALS ARE AUGMENTED BY ONLINE MENTORSHIP VIA THE SIGN SURGICAL DATABASE (SSDB). SURGEONS ARE REQUIRED TO ENTER CASES INTO THE SSDB IN EXCHANGE FOR A FREE RESUPPLY OF SIGN NAILS. EACH CASE IS REVIEWED BY AN ORTHOPAEDIC SURGEON FROM OUR BOARD OR EXPERIENCED SIGN SURGEON MENTORS. THEIR FEEDBACK ON EACH CASE IS SENT TO ALL ORTHOPAEDIC SURGEONS AT THAT HOSPITAL VIA EMAIL.WE PROVIDE ACCESS TO ORTHOPAEDIC TRAINING AND EDUCATION TO SURGEONS IN DEVELOPING COUNTRIES VIA FIVE PRIMARY CHANNELS:1. ONSITE VISITS BY LOCAL SURGEONS AND NORTH AMERICAN AND EUROPEAN SURGEONS. 2. EMAIL COMMUNICATIONS WITH SIGN HEADQUARTERS.3. DISCUSSION TOPICS AND EDUCATIONAL RESOURCES POSTED ON OUR WEBSITE, THE HUB.4. REVIEW OF CASES SUBMITTED TO THE SIGN SURGICAL DATABASE BY SENIOR ORTHOPAEDIC SURGEONS AND SIGN BOARD MEMBERS. 5. REGIONAL SIGN AND TRAUMA CONFERENCES, AS WELL AS THE ANNUAL INTERNATIONAL ORTHOPAEDIC CONFERENCE HELD AT SIGN HEADQUARTERS.THE OBJECTIVES FOR ALL MODES OF TRAINING ARE: 1) ENSURE SIGN SURGEONS UNDERSTAND THE SURGICAL TECHNIQUE FOR THE SIGN PRODUCTS IN THEIR HOSPITAL; 2) PROVIDE TRAINING ON CURRENT AND RELEVANT ORTHOPAEDIC PRINCIPLES; AND 3) PROVIDE TRAINING IN ORTHOPAEDIC AND TRAUMA PROCEDURES FOR INJURIES SUCH AS OPEN WOUNDS, LIMB DEFORMITY, PEDIATRIC, AND PELVIC.EXPAND TRAINING AND EDUCATIONAL OPPORTUNITIES:THE ANNUAL SIGN CONFERENCE WAS HELD IN SEPTEMBER 2024 AT SIGN HEADQUARTERS IN RICHLAND, WASHINGTON. THIS CONFERENCE PROVIDED A COMBINATION OF DIDACTIC LECTURES ON FRACTURE MANAGEMENT, CASE STUDIES, SEVEN CADAVER LAB SESSIONS, AND A SPECIAL FULL-DAY SESSION ON THORACIC SPINE.THE 2024 SIGN CONFERENCE FEATURED 62 SURGEONS FROM 26 COUNTRIES AND INCLUDED TWO NEW SESSIONS: A FIRST TIME ATTENDEE ORIENTATION AND A PILOT BIOSKILLS LAB ON HEMIARTHROPLASTY. THE FIRST TIME ATTENDEE ORIENTATION WAS ATTENDED BY 11 SURGEONS AND INCLUDED A TOUR OF SIGN HQ AND BREAKOUT SESSIONS TO FAMILIARIZE NEW ATTENDEES WITH OUR INSTRUMENTS AND IMPLANTS.THE BIOSKILLS LAB AND PROCEDURAL LEARNING CENTER, WHICH WAS COMPLETED IN EARLY 2022, CONTINUES TO BE A FOCAL POINT DURING THE SIGN CONFERENCE. THESE FACILITIES ALLOW CONFERENCE ATTENDEES TO EXPERIENCE HANDS-ON TRAINING FROM EXPERT CLINICAL EDUCATORS. THE LAB SESSIONS TEACH CRITICAL TECHNIQUES SUCH AS PELVIC FRACTURES/HEMIARTHROPLASTY, PROXIMAL FEMUR FRACTURES, ELBOW FRACTURES, ANKLE FRACTURES/FUSIONS, THORACIC SPINE, AND TIBIAL PLATEAU FRACTURES. WE CONTINUE TO DEVELOP OUR RELATIONSHIP WITH THE INSTITUTE FOR GLOBAL ORTHOPAEDICS AND TRAUMATOLOGY (IGOT). IN 2024, IGOT HOSTED THEIR THREE-DAY SURGICAL MANAGEMENT AND RECONSTRUCTIVE TRAINING COURSE (SMART) COURSE AT SIGN HEADQUARTERS AFTER THE CONCLUSION OF THE SIGN CONFERENCE. THIS ALLOWED NEARLY ALL CONFERENCE ATTENDEES TO ATTEND AND RECEIVE ADDITIONAL CADAVER TRAINING IN FLAPS FOR SOFT TISSUE RECONSTRUCTION AND DEFORMITY CORRECTION. THE SMART COURSE INCLUDED A "REAL-LIFE" SURGICAL CASE SIMULATION, PROVIDING ATTENDEES WITH THE OPPORTUNITY TO APPLY THE SKILLS THEY LEARNED OVER THE WEEK INTO PRACTICE. IGOT ALSO HELD A CLINICAL RESEARCH SYMPOSIUM FOCUSED ON CONDUCTING STUDIES TO ADDRESS CRITICAL TREATMENT QUESTIONS FACED BY THE ATTENDEES' SPECIFIC PATIENT POPULATIONS.IGOT ALSO PROVIDES REGIONAL TRAINING IN OTHER SURGICAL TECHNIQUES TO SIGN SURGEONS IN EAST AFRICA AND NEPAL.THE 1ST INTERNATIONAL SIGN CONFERENCE WAS HELD AT SHAHAB ORTHOPAEDIC HOSPITAL IN PESHAWAR, PAKISTAN IN APRIL 2024. MORE THAN 60 AFGHANI AND PAKISTANI SURGEONS ATTENDED AND DOZENS MORE PARTICIPATED VIA TELECONFERENCE. MODELING THE FORMAT AFTER THE ANNUAL SIGN CONF |
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| IRS990/ProgSrvcAccomActy3Grp/Desc | 0 | PEOPLE LIVING IN LMIC CANNOT ACCESS SPINE CARE WHEN IT IS NOT AVAILABLE IN THEIR COMMUNITY. THE INCIDENCE OF TRAUMATIC SPINAL INJURIES IN LMIC IS ESTIMATED TO BE 13.7 CASES PER 100,000 PERSONS. SIGN HAS IMPLEMENTED A SIGN SPINE PROGRAM AT TWO HOSPITALS IN TWO COUNTIES. WE HAVE PLANS TO EXPAND INTO THREE MORE COUNTRIES WITH A TOTAL OF 10 SITES. WE HAVE THREE GOALS: 1. IMPROVE ACCESS TO SAFE SPINE SURGERY WORLDWIDE. 2. IMPROVE ACCESS TO SPINE SURGICAL EDUCATION AND TRAINING. 3. IMPROVE ACCESS TO AFFORDABLE SPINE IMPLANTS. SIGN IS PARTNERING WITH TEACHING HOSPITALS IN CANADA TO PROVIDE YEAR-LONG FELLOWSHIPS FOR SURGEONS FROM LMIC HOSPITALS. THE GRADUATES WILL RETURN TO THEIR HOSPITALS TO PROVIDE SAFE, EFFECTIVE CARE FOR PATIENTS WITH SPINE INJURIES, AS WELL AS PROVIDE TRAINING TO OTHER SURGEONS. |
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| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 156555 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 151940 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 887209 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt | 0 | 440249 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 496916 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 795028 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 1084354 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt | 0 | 878615 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 3695162 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt | 0 | 215441 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt | 0 | 207407 |
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