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        <OtherExpendituresAmt>19900</OtherExpendituresAmt>
        <EndYearBalanceAmt>7873465</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>8311807</BeginningYearBalanceAmt>
        <ContributionsAmt>35531</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>733712</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>1119295</OtherExpendituresAmt>
        <EndYearBalanceAmt>7961755</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>50447</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>45274</DepreciationAmt>
        <BookValueAmt>5173</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>67282</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>58311</DepreciationAmt>
        <BookValueAmt>8971</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>64025</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>64026</DepreciationAmt>
        <BookValueAmt>-1</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>14143</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Charitable Remainder Trust Receivable</Desc>
        <BookValueAmt>2755405</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Cash Surrender Value of Life Insurance</Desc>
        <BookValueAmt>1853274</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Other receivables</Desc>
        <BookValueAmt>12584</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Right Of Use - Lease Assets</Desc>
        <BookValueAmt>219745</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>4841008</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due to Orthopaedic Partners</Desc>
        <Amt>621756</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Lease Liability ST</Desc>
        <Amt>156277</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Lease Liability LT</Desc>
        <Amt>67540</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>845573</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>4474429</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>825239</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>7763</OtherRevenueAmt>
      <RevenueNotReportedAmt>833002</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>3641427</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>526</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>526</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>3641953</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>5590297</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>16665</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>16665</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>5573632</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>526</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>526</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>5574158</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IV, Line 2b:</FormAndLineReferenceDesc>
        <ExplanationTxt>On behalf of other orthopaedic organizations, the Foundation accepts contributions for which it performs recordkeeping and provides grants requested by those organizations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>FIN 48 Note from Audited Financial Statements: The Foundation, an Illinois nonprofit corporation, is exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code and applicable state law, except for taxes pertaining to unrelated business income, if any. The Foundation's annual information and income tax returns filed with the federal and state governments are subject to examination generally for three years after they are filed. The Foundation has adopted the requirements for accounting for uncertain tax positions and management has determined that the Foundation was not required to record a liability related to uncertain tax positions as of June 30, 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in cash surrender value of life insurance policies -6,447. Change in charitable remainder trust receivable 14,210.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Orthopaedic partner endowment distribution 16,665.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Virginia Commonwealth University</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Office of Research Sponsored</AddressLine1Txt>
          <AddressLine2Txt>Programs 800 East Leigh Street BOX</AddressLine2Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>232980568</ZIPCd>
        </USAddress>
        <RecipientEIN>546001758</RecipientEIN>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Head-to-head Comparison of Appropriateness Criteria for Knee Arthroplasty</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>University of Southern California (USC)</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Department of Contracts and Grants</AddressLine1Txt>
          <AddressLine2Txt>3720 S Flower Street 3rd Floor</AddressLine2Txt>
          <CityNm>Los Angeles</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>90089</ZIPCd>
        </USAddress>
        <RecipientEIN>951642394</RecipientEIN>
        <CashGrantAmt>19601</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>scRNA-seq of Corticosteroid-Induced Osteonecrosis of the Femoral Head</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Indiana University</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>509 E 3rd Street</AddressLine1Txt>
          <CityNm>Bloomington</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>474013654</ZIPCd>
        </USAddress>
        <RecipientEIN>356001673</RecipientEIN>
        <CashGrantAmt>19968</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>A Novel Antibiotic to Reduce Fracture Related Infection in a Murine Model</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Columbia University Medical Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Sponsored Projects Administration</AddressLine1Txt>
          <AddressLine2Txt>Columbia University 630 West 168th</AddressLine2Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10032</ZIPCd>
        </USAddress>
        <RecipientEIN>135598093</RecipientEIN>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>The Role of Tendinopathy and Tissue Crosstalk in Osteoarthritis Progression</PurposeOfGrantTxt>
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        <RecipientBusinessName>
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        <USAddress>
          <AddressLine1Txt>535 East 70th Street</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10021</ZIPCd>
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        <RecipientEIN>131624135</RecipientEIN>
        <CashGrantAmt>20000</CashGrantAmt>
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        <PurposeOfGrantTxt>Inhibition of Gremlin1 for prevention and treatment of aseptic loosening</PurposeOfGrantTxt>
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          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>631304862</ZIPCd>
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        <PurposeOfGrantTxt>Identification &amp; Imaging of Skeletal Muscle Response to Graded Nerve Crush</PurposeOfGrantTxt>
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          <CityNm>New Haven</CityNm>
          <StateAbbreviationCd>CT</StateAbbreviationCd>
          <ZIPCd>065208327</ZIPCd>
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        <PurposeOfGrantTxt>Personal Surgical Planning to Avoid THA dislocation: concept of safe zone</PurposeOfGrantTxt>
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          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15260</ZIPCd>
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        <PurposeOfGrantTxt>Musculoskeletal Oncology Virtual Evaluation Study (MOVES)</PurposeOfGrantTxt>
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          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>631304862</ZIPCd>
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        <RecipientEIN>430653611</RecipientEIN>
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          <CityNm>Los Angeles</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
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        <PurposeOfGrantTxt>Efficacy of Dextromethorphan for Pain Management in Total Knee Arthroplasty</PurposeOfGrantTxt>
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          <AddressLine2Txt>Baltimore MD 21201-1508</AddressLine2Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21201</ZIPCd>
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        <RecipientEIN>526002033</RecipientEIN>
        <CashGrantAmt>50000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>The Role of CCN2 in Tendon Healing</PurposeOfGrantTxt>
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        <USAddress>
          <AddressLine1Txt>The UB Commons 520 Lee Entrance</AddressLine1Txt>
          <AddressLine2Txt>Suite 211 Sponsored Projects Servic</AddressLine2Txt>
          <CityNm>Amherst</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14228</ZIPCd>
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        <RecipientEIN>141368361</RecipientEIN>
        <CashGrantAmt>50000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Optimizing Antibiotic-Cement Efficacy in Peri Prosthetic Shoulder Infection</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>The Regents of the University of California Los Angeles</BusinessNameLine1Txt>
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        <USAddress>
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          <AddressLine2Txt>Angeles Office of Contract and Gran</AddressLine2Txt>
          <CityNm>Los Angeles</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>900951406</ZIPCd>
        </USAddress>
        <RecipientEIN>956006143</RecipientEIN>
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        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Functional Impact of Intra-articular ALK1-Fc Therapy in Osteoarthritis</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>The University of Iowa</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Office of the Vice President for</AddressLine1Txt>
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          <CityNm>Iowa City</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>52242</ZIPCd>
        </USAddress>
        <RecipientEIN>426004813</RecipientEIN>
        <CashGrantAmt>50000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Regional Nerve Blocks to Improve Recovery in Elderly Spinal Fusion Patients</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>The Curators of the University of Missouri</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Office of Sponsored Programs</AddressLine1Txt>
          <AddressLine2Txt>Administration 601 Turner Avenue Tu</AddressLine2Txt>
          <CityNm>Columbia</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65211</ZIPCd>
        </USAddress>
        <RecipientEIN>436003859</RecipientEIN>
        <CashGrantAmt>100000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Characterization of Graft Types for Acetabular Labrum Reconstruction</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>The Hospital for Special Surgery</BusinessNameLine1Txt>
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          <AddressLine1Txt>535 East 70th Street</AddressLine1Txt>
          <CityNm>New York</CityNm>
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          <BusinessNameLine1Txt>Dartmouth-Hitchcock Clinic</BusinessNameLine1Txt>
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          <CityNm>Lebanon</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03756</ZIPCd>
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        <PurposeOfGrantTxt>Flurorescence-based identification of necrotizing soft-tissue infection</PurposeOfGrantTxt>
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          <CityNm>Boston</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
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          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
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        <RecipientEIN>131624135</RecipientEIN>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
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