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      <RevenueNotReportedAmt>1346483</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>4632648</RevenueSubtotalAmt>
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      <RevenueNotReportedFinclStmtAmt>38421</RevenueNotReportedFinclStmtAmt>
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      <InvestmentExpensesNotIncld2Amt>38421</InvestmentExpensesNotIncld2Amt>
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        <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>
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      <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, 2025.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in cash surrender value of life insurance policies -152,320. Change in charitable remainder trust receivable 311,875.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Orthopaedic partner endowment distribution -201,757. Bad Debt Recoveries -48,000.</ExplanationTxt>
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    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
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          <AddressLine1Txt>2222 Welborn St</AddressLine1Txt>
          <CityNm>Dallas</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75219</ZIPCd>
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          <AddressLine2Txt>Shields Ave</AddressLine2Txt>
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          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95616</ZIPCd>
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          <ZIPCd>841120190</ZIPCd>
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          <CityNm>Farmington</CityNm>
          <StateAbbreviationCd>CT</StateAbbreviationCd>
          <ZIPCd>060305335</ZIPCd>
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        <RecipientEIN>521725543</RecipientEIN>
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          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>631304862</ZIPCd>
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          <StateAbbreviationCd>CA</StateAbbreviationCd>
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          <StateAbbreviationCd>IL</StateAbbreviationCd>
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          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>559050001</ZIPCd>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>All Trustees annual conflict of interest statements are on file with the OREF CEO. The CEO reviews meeting agendas prior to the meeting and notifies leadership of any issues that need to be addressed before the discussions take place. Any individual who gives notice of a potential conflict is to abstain from participation in discussions related to that item.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The Foundation has a formal process to determine the compensation of its CEO. The process includes the following: 1) Review and approval by the Board of Trustees or Compensation Committee; 2) Use of comparable compensation data; 3) Contemporaneous documentation and record keepping.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Foundation made its governing documents, conflict of interest policy, and financial statements available to the public upon request for the period of disclosure set forth in IRC Section 6104(d).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Orthopaedic partner endowment distribution -201,757. Change in cash surrender value of life insurance policies -152,320. Change in charitable remainder trust receivable 311,875. Bad Debt Recovery 48,000.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, line 2c:</FormAndLineReferenceDesc>
        <ExplanationTxt>The process has not changed from the prior year.</ExplanationTxt>
      </SupplementalInformationDetail>
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