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      <FactsAndCircumstancesTestTxt>THE AMERICAN FOUNDATION FOR SURGERY OF THE HAND (AFSH) REGULARLY SOLICITS CONTRIBUTIONS FROM THOUSANDS OF INDIVIDUALS ON AN ANNUAL BASIS. INCLUDED ON THE MEMBERSHIP RENEWAL FORM FOR AMERICAN SOCIETY FOR SURGERY OF THE HAND (ASSH) IS AN OPTION TO DONATE TO AFSH. THIS FORM IS DISTRIBUTED TO OVER 4,000 INDIVIDUALS. AN OPTION TO DONATE TO AFSH IS ALSO INCLUDED ON THE REGISTRATION FORM FOR THE ASSH ANNUAL MEETING. THIS FORM IS USED BY OVER 2,800 INDIVIDUALS. THE AFSH HOMEPAGE INCLUDES A LARGE "DONATE NOW" BUTTON FOR ALL VISITORS TO THE SITE TO UTILIZE. AFSH ALSO SOLICITS DONATIONS VIA DIRECT MAIL, TARGETED EMAILS, AND IN ASSH'S WEEKLY EMAIL NEWSLETTER. IN 2022, OVER 650 INDIVIDUALS MADE DONATIONS TO AFSH. THIRTEEN INDIVIDUALS WHO SERVED ON THE AFSH BOARD OF TRUSTEES IN 2022 WORKED FOR TAX-EXEMPT ORGANIZATIONS. AFSH SUPPORTS DOMESTIC AND INTERNATIONAL MISSIONS DESIGNED TO PROVIDE ACCESS TO HAND SURGEONS AT ZERO COST TO ANYONE SEEKING TREATMENT. AFSH ALSO PROVIDES AN ANNUAL GRANT TO FUND A PUBLICLY ACCESSIBLE WEBSITE THAT AIDS THE GENERAL PUBLIC IN FINDING A HAND SURGEON. AFSH PROVIDES OVER 100 GRANTS ANNUALLY TO RESIDENTS AND FELLOWS TO ALLOW THEM TO ATTEND THE ASSH ANNUAL MEETING. THIS ALLOWS THESE INDIVIDUALS TO HAVE ACCESS TO THE VAST ARRAY OF EDUCATIONAL CONTENT THAT WILL ENABLE THEM TO HONE THEIR SKILLS AND IN TURN PROVIDE QUALITY HEALTHCARE TO THE GENERAL PUBLIC. WITH A 25.98% PUBLIC SUPPORT PERCENTAGE AND THE REASONS STATED ABOVE, AFSH MEETS THE FACTS AND CIRCUMSTANCES TEST TO MAINTAIN ITS STATUS AS A PUBLICLY SUPPORTED ORGANIZATION.</FactsAndCircumstancesTestTxt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedFinclStmtAmt>32840</RevenueNotReportedFinclStmtAmt>
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      <ExpensesNotRptFinclStmtAmt>32840</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCIAL STATEMENT EFFECTS OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN ARE RECOGNIZED IN THE FINANCIAL STATEMENTS WHEN IT IS MORE LIKELY THAN NOT, BASED ON THE TECHNICAL MERITS, THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION. AS OF DECEMBER 31, 2022, THE FOUNDATION HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
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          <AddressLine1Txt>822 W WASHINGTON BLVD</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60607</ZIPCd>
        </USAddress>
        <RecipientEIN>316051199</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>1213537</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>EDUCATION, RESEARCH, FELLOWSHIP AND OUTREACH GRANTS</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANT RECIPIENTS ARE REQUIRED TO SUBMIT AN ANNUAL ACCOUNTING OF HOW GRANT FUNDS WERE USED AND ARE EXPECTED TO RETURN ANY UNUSED GRANT PROCEEDS AFTER THE CONCLUSION OF THE RESEARCH PROJECT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
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      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK C ANDERSON</PersonNm>
        <TitleTxt>CEO/EXECUTIVE VP</TitleTxt>
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        <TotalCompensationRltdOrgsAmt>1057942</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAMELA SCHROEDER</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM CHANDLER</PersonNm>
        <TitleTxt>CFO</TitleTxt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>19314</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>23287</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>10059</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>232330</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>OLIVIA WILLIAMS</PersonNm>
        <TitleTxt>DIRECTOR OF COMMUNICATIONS</TitleTxt>
        <BaseCompensationFilingOrgAmt>4342</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>120063</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>436</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>12064</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>490</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>13560</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>848</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>23447</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>6116</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>169134</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE RELATED ORGANIZATION USES A WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>MARK ANDERSON EARNED A BENEFIT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN THE AMOUNT OF $10,000 FROM THE ORGANIZATION AND A RELATED ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>3</ContributionCnt>
        <NoncashContributionsRptF990Amt>176110</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>EST. FARE VALUE OF SIMIL</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 32B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT ACCEPT NON-STANDARD GIFTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS REVIEWS THE 990 BEFORE IT IS SUBMITTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL BOARD OF TRUSTEE MEMBERS ARE REQUIRED TO SUBMIT A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BYLAWS ARE AVAILABLE ON OUR WEBSITE AND ALL OTHER GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
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          <BusinessNameLine1Txt>AMERICAN SOCIETY FOR SURGERY OF THE HAND</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>822 W WASHINGTON BLVD</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60607</ZIPCd>
        </USAddress>
        <EIN>316051199</EIN>
        <PrimaryActivitiesTxt>ADVANCE THE SCIENCE AND PRACTICE OF HAND SURGERY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>509(A)(2)</PublicCharityStatusTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>AMERICAN SOCIETY FOR SURGERY OF THE HAND PROFESSIONAL ORG</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>822 W WASHINGTON BLVD</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60607</ZIPCd>
        </USAddress>
        <EIN>461761743</EIN>
        <PrimaryActivitiesTxt>PROVIDE ADVOCACY IN THE BEST INTEREST OF HAND SURGEONS WHEN NECESSARY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)6</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AMERICAN SOCIETY FOR SURGERY OF THE HAND</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AMERICAN SOCIETY FOR SURGERY OF THE HAND</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>750000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>AMOUNT PLEDGED</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AMERICAN SOCIETY FOR SURGERY OF THE HAND</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>1213537</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>AMOUNT PAID</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AMERICAN SOCIETY FOR SURGERY OF THE HAND</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>N</TransactionTypeTxt>
        <InvolvedAmt>66005</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>% OF ACTUAL AMOUNT INCURRED</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AMERICAN SOCIETY FOR SURGERY OF THE HAND</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>176691</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>% OF ACTUAL AMOUNT INCURRED</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
