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        <FormAndLineReferenceDesc>Schedule D, Part V, Line 4 Intended uses of endowment funds</FormAndLineReferenceDesc>
        <ExplanationTxt>PAACS' donor-restricted endowments are used to fund the training of residents in PAACS surgical training programs in specified areas of Africa. There are endowments established to start a program in Togo, to fund general surgical training, and to fund orthopaedic surgical training. These endowments are permanent in nature and only allow for the use of the net earnings, gains, and losses to meet their purpose.</ExplanationTxt>
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        <TypeOfAssistanceTxt>Stipend Assistance</TypeOfAssistanceTxt>
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        <FormAndLineReferenceDesc>Schedule F, Part I, Line 2 Procedures for monitoring use of grant funds</FormAndLineReferenceDesc>
        <ExplanationTxt>PAACS advances funds to participating independent organization that disburse the stipends on behalf of PAACS to individual residents that are approved to participate in the surgical training program sponsored by PAACS in conjunction with the organization. Residents receive their set stipend monthly as long they are in the training program. The participating organization that is releasing the funds to the participant will periodically (typically monthly) report to PAACS the name, amount, and date that each resident receives their stipend. The recipients and amounts are monitored by PAACS to ensure proper payment.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements</FormAndLineReferenceDesc>
        <ExplanationTxt>MIDDLE EAST AND NORTH AFRICA-Accrual; SUB-SAHARAN AFRICA-Accrual</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule F, Part III Method used to account for expenditures on org's financial statements</FormAndLineReferenceDesc>
        <ExplanationTxt>MIDDLE EAST AND NORTH AFRICA -Accrual SUB-SAHARAN AFRICA -Accrual</ExplanationTxt>
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          <BusinessNameLine1Txt>Susan Koshy JD MPH</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Keir Thelander MD</BusinessNameLine1Txt>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Tax indemnification and gross-up payments</FormAndLineReferenceDesc>
        <ExplanationTxt>Gross-up payments were paid to Susan Koshy, CEO, in the form of supplemental income to cover the cost of health insurance acquired under her spouse's plan. This was included as taxable income.</ExplanationTxt>
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        <ContributionCnt>5</ContributionCnt>
        <NoncashContributionsRptF990Amt>113660</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Selling cost</MethodOfDeterminingRevenuesTxt>
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        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
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        <FormAndLineReferenceDesc>Schedule M, Part I Column (b)</FormAndLineReferenceDesc>
        <ExplanationTxt>The number of contributions represent the number of contributions received, not the number of items donated.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 2a</FormAndLineReferenceDesc>
        <ExplanationTxt>Pan-African Academy of Christian Surgeons does not file any W-2s as all employees are outsourced from a professional employment organization. Pan-African Academy of Christian Surgeons reimburses the professional employment organization for the employees' compensation and the reimbursements are reported on 990 Part VII, Section A and 990 Part IX, Lines 5-10.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a Delegate broad authority to a committee</FormAndLineReferenceDesc>
        <ExplanationTxt>PAACS has an Executive Committee with authority to conduct business in between board meetings. This Committee exercises the powers and authority of the PAACS Board of Directors to direct the business and affairs of PAACS in intervals between meetings of the Board. This Committee will have the authority to act for the Board on all matters so long as the Executive Committee determines that it would be imprudent to wait for the next meeting. The Executive Committee is composed of the Chair, Vice Chair, Secretary, Treasurer, Member at Large for General Surgery and the General Surgery Council Chair. The Past Chair is also on the Executive as an non-voting member and can vote to break a tie.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is prepared by an independent CPA firm and reviewed in detail by the organization's top management. The reviewed Form 990 is then provided to the board of directors prior to filing with the IRS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>PAACS requires all officers and Board members to annually complete and sign a PAACS Conflict of Interest form that states their understanding of the policy and requirement to disclose any conflicts of interest to the Board. Staff members are responsible to make sure that these forms are signed annually by the appropriate individuals. At the start of each semi-annual Board meeting individuals are show the PAACS Conflict of Interest Statement and are asked if they have any conflicts to disclose. If any, these will be noted in the minutes and the individuals will need to excuse themselves at the appropriate time. Also throughout the year any officer or Board member is required to disclose any conflict of interest that may arise as it relates to their involvement in any decision making process for PAACS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board sets the compensation for the CEO. There is an appointed work group of the Board that recommends the initial compensation for the CEO made of 4 members of the Board of Directors. An appointed work group also conducts an annual review of the CEO and provides a recommendation of any salary increases for the CEO. The work group conducts a review of similar organizations of the size and budget of PAACS and uses comparability data to assist in determining the level of compensation. The Board then reviews and votes on any recommendations. This information is available to the full Board when the recommendation is reviewed and voted on and this process is documented in the Board of Directors executive session minutes.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO is responsible for setting the compensation level for the CFO (as well as all other positions) for PAACS. The CEO takes into account a review of similar organizations of the size and budget of PAACS as well as the location of the employee. The CEO uses the comparability data to assist in determining the proper level of compensation. This process is documented in the CFO's personal file.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing documents, conflict of interest policy and financial statements are available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>Other Revenue - Total Revenue: 10901, Related or Exempt Function Revenue: 10901, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Column (A) Program Service Expenses %:</FormAndLineReferenceDesc>
        <ExplanationTxt>In connection with overseas short-term surgical training, PAACS receives skilled donated services including surgical training, conducting rounds and additional instructions. Per the IRS instructions, the value of these services is not required to be included on Part IX, Statement of Functional Expenses. If the value of the donated services of $1,910,285 were included as they are in the audited financial statements, the program service expenses % would be 84.15%.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>Other professional fees - Total Expense: 556284, Program Service Expense: 502907, Management and General Expenses: 40576, Fundraising Expenses: 12801;</ExplanationTxt>
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