2018-10-10T09:42:00-05:00 2017-12-31 521511275 RAFFA PC 1899 L STREET NW SUITE 850 WASHINGTON DC 20036 990 2017-01-01 133048373 AMERICAN SOCIETY OF TRANSPLANT SURGEONS AMER 7034147870 2461 SOUTH CLARK STREET NO 640 ARLINGTON VA 22202 KIMBERLY A GIFFORD MBA EXECUTIVE DIRECTOR 7034147870 2018-10-10 1 FRANK H SMITH P00639053 2028225000 2018-09-26 207.238.152.241 2018-10-10 10:41:30 ED P D653353D7DBCB53E6E80CBBAE88F302164E361EF B28EB3D1A33359A1C7D8444A7227EB34E855D8C5 2017 2018-06-14 16:35:46Z KIMBERLY A GIFFORD MBA 2461 SOUTH CLARK STREET NO 640 ARLINGTON VA 22202 4861732 0 X WWW.ASTS.ORG X 1974 OR TO ADVANCE THE ART AND SCIENCE OF TRANSPLANT SURGERY; SAVE AND IMPROVE LIVES WITH TRANSPLANTATION. 16 16 16 259 57908 43503 3067443 2652173 2535146 2159105 404 1368 34941 47416 5637934 4860062 0 137861 0 0 1166098 1357109 0 0 5858 3895004 4151388 5061102 5646358 576832 -786296 3539300 3075344 614782 937122 2924518 2138222 X THE AMERICAN SOCIETY OF TRANSPLANT SURGEONS (THE SOCIETY) AND ITS MEMBERS ARE COMMITTED TO ADVANCING THE ART AND SCIENCE OF TRANSPLANT SURGERY THROUGH LEADERSHIP, ADVOCACY, EDUCATION AND TRAINING. 0 0 2436616 NATIONAL LIVING DONOR ASSISTANCE CENTER (NLDAC): THE NLDAC WAS ESTABLISHED VIA A GOVERNMENT GRANT TO REDUCE THE FINANCIAL DISINCENTIVES TO LIVING ORGAN DONATION AND HELP THOSE ON THE WAITING LIST FOR AN ORGAN. THE GRANT, TO WHICH THE SOCIETY IS A SUB-CONTRACTOR, ESTABLISHED AND NOW OPERATES A NATIONAL SYSTEM TO PROVIDE REIMBURSEMENT OF TRAVEL AND SUBSISTENCE EXPENSES, AND OTHER NON-MEDICAL EXPENSES, THAT MAY BE AUTHORIZED BY THE SECRETARY OF HEALTH AND HUMAN SERVICES, TO INDIVIDUALS BEING EVALUATED FOR AND/OR UNDERGOING LIVING ORGAN DONATION. PRIORITY IS GIVEN TO THOSE INDIVIDUALS WHO CANNOT OTHERWISE AFFORD THE EXPENSES. THE SOCIETY'S ADMINISTERS THE DAY-TO-DAY OPERATIONS OF THE PROGRAM WITH GOVERNMENT FUNDS, AS OUTLINED ON PG. 10. 804936 377878 COMMITTEE AND COUNCIL PROGRAMS: THE SOCIETY ADVANCES ITS MISSION THROUGH THE WORK OF ITS COMMITTEE AND COUNCIL PROGRAMS. ACTIVITIES ARE FOCUSED ON ONE OR MORE OF THE SOCIETY'S STRATEGIC GOALS: ADVOCACY, RESEARCH, TRAINING AND PROFESSIONAL DEVELOPMENT AND OPTIMAL PATIENT CARE. EXAMPLES OF ACTIVITIES INCLUDE THE CREATION OF LEARNING MODULES FOR THE ONLINE CURRICULUM, POSITION STATEMENTS, AND OTHER MEMBER RESOURCES, ENGAGEMENT WITH KEY STAKEHOLDERS, AND EDUCATION AND GUIDANCE ON TOPICS RELEVANT TO THE FIELD OF ORGAN TRANSPLANTATION. 695082 753895 CONFERENCES AND MEETINGS: THE SOCIETY ORGANIZES AND HOSTS A WIDE VARIETY OF MEETINGS DESIGNED TO SUPPORT IT MISSION AND ADVANCE THE FIELD OF ORGAN TRANSPLANTATION. TOPIC-DRIVEN MEETINGS SUCH AS THE WINTER SYMPOSIUM PROVIDE IN-DEPTH EXPLORATION OF A NARROW TOPIC. ABSTRACT DRIVEN MEETINGS SUCH AS THE AMERICAN TRANSPLANT CONGRESS PROVIDE A FORUM FOR EXCHANGE OF NEW SCIENTIFIC AND CLINICAL INFORMATION RELEVANT TO SOLID ORGAN AND TISSUE TRANSPLANTATION. NARROWLY FOCUSED MEETINGS SUCH AS THE FELLOWS' SYMPOSIUM AND LEADERSHIP DEVELOPMENT PROGRAM FACILITATE MEMBERS' UNDERSTANDING IN SELECT AREAS IDENTIFIED THROUGH A ROBUST NEEDS ANALYSIS SYSTEM. 539015 5970 OTHER PROGRAMS 381419 PUBLIC AWARENESS 148537 137861 GRANT & AWARDS 35438 952912 JOINT ASTS/AST 1104409 137861 958882 5041043 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 19 0 1 16 1 1 1 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 OR X KIMBERLY A GIFFORD MBA 7034147870 2461 SOUTH CLARK STREET NO 640 ARLINGTON VA 22202 TIMOTHY L PRUETT MD PRES - UNTIL 05/2017; IMM PAST PRES 5.00 1.00 X X 0 0 0 JEAN C EMOND MD PRES-ELECT - UNTIL 05/2017, PRES 5.00 0.50 X X 0 0 0 CHARLES M MILLER IMM PAST PRES - UNTIL 05/2017, PAST PRES 3.00 0.50 X X 0 0 0 PETER G STOCK MD PHD PAST PRESIDENT - UNTIL 05/2017 1.00 0.50 X X 0 0 0 DIXON B KAUFMAN MD PHD SEC - UNTIL 05/2017, PRES-ELECT 1.00 0.50 X X 0 0 0 LLOYD E RATNER MD MPH TREASURER 1.00 0.50 X X 0 0 0 A OSAMA GABER MD FACS COUN AT-LARGE - UNTIL 05/17, PRES-ELECT 0.50 0.50 X X 0 0 0 PETER L ABT MD COUNCILOR-AT-LARGE 0.50 0.50 X 0 0 0 TALIA B BAKER MD COUNCILOR-AT-LARGE 0.50 0.50 X 0 0 0 GINNY L BUMGARDNER MD PHD COUNCILOR-AT-LARGE - UNTIL 05/2017 0.50 0.50 X 0 0 0 WILLIAM C CHAPMAN MD COUNCILOR-AT-LARGE 0.50 0.50 X 0 0 0 KENNETH D CHAVIN MD PHD COUNCILOR-AT-LARGE - UNTIL 05/2017 0.50 0.50 X 0 0 0 CARLOS O ESQUIVEL MD PHD COUNCILOR-AT-LARGE 0.50 0.50 X 0 0 0 JONATHAN P FRYER MD COUNCILOR-AT-LARGE 0.50 0.50 X 0 0 0 WENDY J GRANT MD COUNCILOR-AT-LARGE 0.50 0.50 X 0 0 0 ALAN I REED MD MBA COUNCILOR-AT-LARGE 0.50 0.50 X 0 0 0 DORRY L SEGEV MD PHD COUNCILOR-AT-LARGE 0.50 0.50 X 0 0 0 GEORGEINE SMITH MHS MS PA-C ASSOCIATE COUNCILOR 0.50 X 0 0 0 RANDALL S SUNG MD COUNCILOR-AT-LARGE 0.50 0.50 X 0 0 0 KIMBERLY A GIFFORD MBA EXECUTIVE DIRECTOR 38.00 2.00 X 220546 14955 23379 LAUREL KULIKOSKY DEPUTY DIRECTOR 38.00 2.00 X 134547 310 9840 PATRICIA HOLLYN WARREN DIRECTOR, NLDAC OPERATIONS 40.00 X 118449 0 23741 473542 15265 56960 3 0 1 0 LOEWS MIAMI BEACH HOTEL PO BOX 308013 NASHVILLE TN 37230 CONFERENCE HOTEL 327857 POWERS PYLE SUTTER & VERVILLE 1501 M ST NW 7TH FLR WASHINGTON DC 20005 LEGISLATIVE & REGULATORY COUNSEL 205480 KELLOGG SCHOOL OF MANAGEMENT 2169 N CAMPUS DRIVE EVANSTON IL 60208 LEADERSHIP DEVELOPMENT 140825 CCR SOLUTIONS INC 8811 BOGGY CREEK ROAD ORLANDO FL 32824 AUDIO/VISUAL SERVICES 136486 4 2234483 417690 4485 2652173 CONFERENCES & MEETINGS 900099 1005013 957288 47725 PUBLICATIONS 900099 390600 355107 35493 LEADERSHIP DEVELOPMENT 900099 272530 272530 ACCREDITATION 900099 261083 261083 MEMBERSHIP DUES 900099 182679 182679 47200 47200 2159105 1368 1368 16531 16531 7640 1670 5970 5970 WEB ADVERTISING 541800 22415 22415 LIST RENTAL 900099 2500 2500 24915 4860062 2081857 57908 68124 X 137861 137861 242441 159211 83133 97 857695 677093 179565 1037 54850 41600 13186 64 124986 93714 31134 138 77137 57239 19818 80 8844 8226 616 2 74501 56338 18089 74 927821 910115 17609 97 103313 88746 14441 126 160715 142305 18337 73 159790 118713 40911 166 436833 355304 78482 3047 372910 307773 65136 1 43132 32006 11081 45 29747 23282 6439 26 UBI TAXES 6790 5833 949 8 ORGAN DONOR ASSISTANCE 1799004 1799004 DUES AND SUBSCRIPTIONS 12920 12410 160 350 MISCELLANEOUS 9568 8770 371 427 5500 5500 5646358 5041043 599457 5858 1533524 664856 125216 626585 1083866 1294616 5090 5103 194071 218177 159220 111480 86760 47740 493528 201022 17245 17245 3539300 3075344 238267 454763 324247 451445 52268 30914 614782 937122 X 2258018 1778829 666500 359393 2924518 2138222 3539300 3075344 -786296 0 X 0 1 X 1 1 1 X 2677938 2829867 3121040 3067443 2652173 14348461 2677938 2829867 3121040 3067443 2652173 14348461 1028265 13320196 13115 6221 15271 11088 20399 66094 65328 27799 34628 37264 44503 209522 3498 2080 188 1142 6908 14630985 11263687 0.91040 0.89010 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2013 AMOUNT: $ 3,498. 2014 AMOUNT: $ 2,080. 2015 AMOUNT: $ 188. 2016 AMOUNT: $ 1,142. 2017 AMOUNT: $ 0. 1 1 0 0 0 0 1 106560 0 0 106560 0 PART II-B, LINE 1: THE SOCIETY ADVOCATES FOR ISSUES THAT IMPACT ITS MEMBERS AND THE PATIENTS THEY SERVE. EFFORTS ARE FOCUSED ON ISSUES INFLUENCING THE PRACTICE AND SCIENCE OF TRANSPLANTATION. THE SOCIETY UTILIZES THE SERVICES OF AN EXTERNAL LAW FIRM TO CONDUCT ADVOCACY EFFORTS RELATED TO ISSUES RELEVANT TO TRANSPLANTATION. 17359 3866 13493 141861 107614 34247 47740 INVESTMENT IN JOINT COUNCIL 201022 C 201022 DEFERRED RENT 30914 30914 0 ASTS FOUNDATION 2461 SOUTH CLARK STREET SUITE 640 ARLINGTON VA 22202 320020119 501(C)(3) 137861 GENERAL SUPPORT 1 0 PART I, LINE 2: ASTS AND ITS AFFILIATED ASTS FOUNDATION PROVIDE ANNUAL RESEARCH GRANT FUNDING TO ACADEMIC INSTITUTIONS. SUCH FUNDING SUPPORTS ASTS MEMBERS AND THEIR TRAINEES TO CONDUCT RESEARCH IN THE FIELD OF TRANSPLANTATION. GRANTEE MUST ADHERE TO GUIDELINES AS OUTLINED ON THE ASTS WEBSITE. X X X X 0 0 0 0 0 0 0 1 0 KIMBERLY A GIFFORD MBA EXECUTIVE DIRECTOR 210713 14288 9833 667 0 0 10536 714 11359 770 242441 16439 0 0 PART I, LINE 7 LAUREL KULIKOSKY, DEPUTY DIRECTOR, AND KIMBERLY A. GIFFORD, MBA, EXECUTIVE DIRECTOR, RECEIVED A BONUS WHICH WAS AWARDED BASED ON AN EVALUATION OF THEIR RESPECTIVE PERFORMANCES. FORM 990, PART VI, SECTION A, LINE 6 THE SOCIETY HAS SEVEN CATEGORIES OF MEMBERSHIP: REGULAR MEMBERS, SENIOR MEMBERS, INTERNATIONAL MEMBERS, HONORARY MEMBERS, ASSOCIATE MEMBERS, CANDIDATE MEMBERS AND TRAINEE MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A THE SOCIETY HAS A NOMINATING COMMITTEE CONSISTING OF THE PRESIDENT, PRESIDENT-ELECT, TWO MOST RECENT PAST PRESIDENTS, AND THE SIX MOST SENIOR COUNCILORS-AT-LARGE. EACH COMMITTEE MEMBER MUST ADHERE TO AN EXPANDED CONFLICT OF INTEREST POLICY THAT PRECLUDES A VOTING MEMBER OF THE COMMITTEE FROM CASTING A VOTE FOR HIM/HERSELF AND/OR CASTING A VOTE FOR/AGAINST A CANDIDATE FROM THE SAME INSTITUTION. THE COMMITTEE REVIEWS THE NOMINATIONS FROM THE GENERAL MEMBERSHIP AND PUTS FORWARD A BALLOT TO ELIGIBLE VOTING MEMBERS THAT CONTAINS SIX CANDIDATES FOR THE THREE COUNCILOR POSITIONS, THREE NAMES FOR THE SECRETARY OR TREASURER POSITION AND ONE NAME FOR THE PRESIDENT-ELECT POSITION. FORM 990, PART VI, SECTION A, LINE 7B ALL BYLAWS AND AMENDMENTS REQUIRE APPROVAL BY THE MEMBERSHIP. NEW MEMBER APPROVAL IS SUBJECT TO VOTE BY THE MEMBERSHIP COMMITTEE AND COUNCIL. FORM 990, PART VI, SECTION B, LINE 11B THE FEDERAL FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTANT AND UPON SUBMISSION OF THE DRAFT, IS REVIEWED BY THE TREASURER AND EXECUTIVE DIRECTOR. THE FORM 990 IS PRESENTED TO THE SOCIETY'S COUNCIL/BOARD FOR REVIEW AND DISCUSSION PRIOR TO FINALIZING WITH THE INTERNAL REVENUE SERVICE. FORMAL APPROVAL IS RECORDED IN THE MINUTES. FORM 990, PART VI, SECTION B, LINE 12C ALL OF THE SOCIETY'S COUNCIL/BOARD MEMBERS COMPLETE A CONFLICT OF INTEREST (COI) FORM ON AN ANNUAL BASIS. INFORMATION SUGGESTING AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST SHALL BE COMMUNICATED TO THE PRESIDENT, THE COUNCIL/BOARD, AND/OR THE EXECUTIVE DIRECTOR. FOR EACH ISSUE RAISED ON AN UPDATED ANNUAL DISCLOSURE FORM OR ON AN AD HOC BASIS, A DETERMINATION SHALL BE MADE REGARDING THE NEED FOR THE SOCIETY'S COUNCIL/BOARD MEMBERS PARTICIPATION TO BE ALTERED. THE SOCIETY'S COUNCIL/BOARD MEMBER MAY VOLUNTARILY RECUSE HIM/HERSELF FROM DISCUSSION AND/OR VOTING ON THE BASIS OF A CONFLICT OF INTEREST. IN ADDITION, THE SOCIETY'S COUNCIL/BOARD MAY REQUIRE THAT A COUNCIL/BOARD MEMBER: (A) REFRAIN FROM VOTING ON THE ISSUE, (B) NOT PARTICIPATE IN EITHER THE DISCUSSION OR THE VOTE ON THE ISSUE, (C) LEAVE THE ROOM DURING DISCUSSION AND VOTING ON THE ISSUE, OR (D) EXPLAIN HIS OR HER INTEREST IN THE MATTER FULLY TO THE SOCIETY'S COUNCIL/BOARD MAY WEIGH THE SOCIETY'S COUNCIL/BOARD MEMBER'S FURTHER PARTICIPATION. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION COMMITTEE CONSISTING OF OFFICERS OF THE EXECUTIVE COMMITTEE CONDUCTS AN ANNUAL REVIEW WITH INPUT FROM COMMITTEE CHAIRS AND COUNCIL MEMBERS. THE COMPENSATION COMMITTEE ANALYZES RELEVANT BENCHMARK DATA, REVIEWS THE EVALUATIONS AND MAKES RECOMMENDATIONS TO THE SOCIETY'S COUNCIL/BOARD FOR LEVEL OF COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE ON THE PUBLIC PORTION OF THE WEBSITE. FINANCIAL STATEMENTS ARE PROVIDED UPON REQUEST. THE SOCIETY MAKES AVAILABLE A PUBLIC DISCLOSURE COPY OF ITS FEDERAL FORM 990 UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 578,291. MANAGEMENT AND GENERAL EXPENSES 17,609. FUNDRAISING EXPENSES 97. TOTAL EXPENSES 595,997. HONORARIA: PROGRAM SERVICE EXPENSES 48,400. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 48,400. JOURNAL PUBLISHING: PROGRAM SERVICE EXPENSES 67,769. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 67,769. DESIGN: PROGRAM SERVICE EXPENSES 5,108. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,108. PUBLIC POLICY: PROGRAM SERVICE EXPENSES 205,547. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 205,547. PROJECT CONSULTING: PROGRAM SERVICE EXPENSES 5,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,000. TRANSPLANT ACCREDITATION & CERTIFICATION LLC 2461 SOUTH CLARK STREET SUITE 640 ARLINGTON VA 22202 VA 261083 173584 AMERICAN SOCIETY OF TRANSPLANT SURGEONS ASTS FOUNDATION 2461 SOUTH CLARK STREET SUITE 640 ARLINGTON VA 22202 320020119 CONDUCTS EDUCATIONAL RESEARCH PROGRAMS RELATING TO ORGAN TRANSPLANTATION VA 501(C)(3) LINE 12B, II AMERICAN SOCIETY OF TRANSPLANT SURGEONS 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 ASTS FOUNDATION B 137861 CASH ASTS FOUNDATION O 66722 FMV