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CHARITY REVIEW
Issued: December 2023 Expires: December 2025

SIGN Fracture Care International

Accredited Charity
Accredited Charity

Meets Standards

Accreditation seal
451 Hills Street, Suite B
Richland, WA, 99354

Standards For Charity Accountability

Governance

  1. Board Oversight
  2. Board Size
  3. Board Meetings
  4. Board Compensation
  5. Conflict of Interest

Measuring Effectiveness

  1. Effectiveness Policy
  2. Effectiveness Report

Finances

  1. Program Expenses
  2. Fundraising Expenses
  3. Accumulating Funds
  4. Audit Report
  5. Detailed Expense Breakdown
  6. Accurate Expense Reporting
  7. Budget Plan

Fundraising & Info

  1. Truthful Materials
  2. Annual Report
  3. Website Disclosures
  4. Donor Privacy
  5. Cause Marketing Disclosures
  6. Complaints

SIGN Fracture Care International meets the 20 Standards for Charity Accountability.

Stated Purpose:
"to build orthopedic capacity in developing countries by providing orthopedic training and implants."

Year, State Incorporated:
1999, WA

SIGN Fracture Care International (SIGN) reports that it partners with overseas surgeons to build sustainable orthopedic capacity by providing education, instruments, and implants. By working with teaching hospitals and hosting educational conferences worldwide, the organization seeks to equip surgeons to serve patients within their own communities. After educating each surgeon, SIGN provides the instruments and implants they need to perform surgery, which are designed and manufactured in the organization's facilities in Richland, Washington. In 2022, SIGN states that it served 28,279 patients and implemented 29 new programs.

For the year ended December 31, 2022, SIGN Fracture Care International's program expenses were:

Education: $2,121,730

Cost of products: $5,523,346

Total Program Expenses: $7,645,076

Chief Executive
Jeanne Dillner, Chief Executive Officer

Compensation*
$184,927

Chair of the Board
Lewis G. Zirkle, MD

Chair's Profession / Business Affiliation
Orthopedic Surgeon

Board Size
12

Paid Staff Size
41

*2022 compensation includes annual salary and, if applicable, benefit plans, expense accounts, and other allowances.

Method(s) Used:
Direct mail appeals, Grant proposals, Internet, Direct mail appeals, Print advertisements

Fundraising costs were 7% of related contributions. (Related contributions, which totaled $7,977,078, are donations received as a result of fundraising activities.)

This organization is tax-exempt under section 501(c)(3) of the Internal Revenue Code. It is eligible to receive contributions deductible as charitable donations for federal income tax purposes.

The following information is based on SIGN Fracture Care International's audited financial statements for the year ended December 31, 2022.

Source of Funds
Contributions $5,160,440
In-kind contributions $2,816,638
Implant revenue $780,977
Rental income $63,600
Conference registration $4,835
Other revenue $9,216
Realized and unrealized loss on investments $-1,067,853
Dividend income $62,419
Interest income $29,847
Investment fees $-21,875
Total Income $7,838,244

Programs: 90% Fundraising: 6% Administrative: 4%

Total Income $7,838,244
Total expenses: $8,534,374
  Program expenses $7,645,076
  Fundraising expenses $535,399
  Administrative expenses $336,221
  Other expenses $17,678
Income in Excess of Expenses $-696,130
Beginning Net Assets $15,656,405
Other Changes In Net Assets $0
Ending Net Assets $14,960,275
Total Liabilities $383,197
Total Assets $15,343,472

Note I: As noted in the above financial section, "other expenses" refers to property management fees.

Note II: According to SIGN's 2022 audited financial statements, the organization received $2,816,638 in contributed goods and services including professional services ($1,375,700), medical supplies and equipment ($1,288,998), stock donations ($85,071), engineering and production supplies ($35,520), educational travel costs ($18,446), fundraising supplies ($7,503), and facility rent ($5,400).

An organization may change its practices at any time without notice. A copy of this report has been shared with the organization prior to publication. It is not intended to recommend or deprecate, and is furnished solely to assist you in exercising your own judgment. If the report is about a charity and states the charity meets or does not meet the Standards for Charity Accountability, it reflects the results of an evaluation of information and materials provided voluntarily by the charity. The name Better Business Bureau is a registered service mark of the International Association of Better Business Bureaus.

This report is not to be used for fundraising or promotional purposes.

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Report completed by:
BBB Wise Giving Alliance