2017-11-15T09:24:57-06:00 2016-12-31 410746749 CLIFTONLARSONALLEN LLP 1301 W 22ND ST STE 1100 OAK BROOK IL 60523 990 2016-01-01 237058604 AMERICAN SOCIETY FOR GASTROINTESTINAL ENDOSCOPY AMER 6305730600 3300 WOODCREEK DRIVE DOWNERS GROVE IL 60515 PATRICIA BLAKE CEO 6305730600 2017-11-14 1 GREGORY S ADAMS P00095597 6305738600 2017-11-14 67.137.57.251 2017-11-14 13:59:00 CS P FAF439ABF6F5638E0B9C98036FA3C7EB9785A77F B0B82EE3E858863B5AFDA9227FC05760300C7D48 2016 2017-02-10 21:41:12Z PATRICIA BLAKE 3300 WOODCREEK DRIVE DOWNERS GROVE IL 60515 30313469 0 X WWW.ASGE.ORG X 1941 IL TO FURTHER THE KNOWLEDGE AND TREATMENT OF GASTROINTESTINAL DISEASE 14 11 81 395 168180 -125567 3934044 5274173 9231360 9109081 436383 575194 2295940 1574010 15897727 16532458 800228 296850 0 0 6372533 6561378 0 296500 709687 9945273 10062474 17118034 17217202 -1220307 -684744 42316142 34622586 23773556 16575477 18542586 18047109 X TO BE THE LEADER IN ADVANCING PATIENT CARE AND DIGESTIVE HEALTH BY PROMOTING EXCELLENCE AND INNOVATION IN ENDOSCOPY. 0 0 5328859 5400138 ANNUAL MEETINGS, REGIONAL WORKSHIPS, AND POSTGRADUATE COURSES ARE CONDUCTED DURING THE YEAR TO KEEP MEMBERS CURRENT ON VARIOUS SUBJECTS RELATED TO GASTROINTESTINAL DISORDERS. 1667352 27660 THE SOCIETY MAINTAINS VARIOUS COMMITTEES TO DEAL WITH MEMBERSHIP, POSTGRADUATE EDUCATION, SCIENTIFIC PROGRAMS AND RESEARCH. 690078 2880035 ASGE MEMBERSHIP PROVIDES CONVENIENT AND ROBUST TOOLS, RESOURCES AND CONNECTIONS TO HELP MEMBERS PROGRESS IN THEIR CAREER AND DELIVER THE BEST PATIENT CARE POSSIBLE. 1803131 296850 1125295 OTHER PROGRAM SERVICES - EXTERNAL SERVICES, HEALTH POLICY, PUBLIC EDUCATION, DIGESTIVE HEALTH WORKS, AND ENDOSCOPIC RESEARCH GRANTS AND RELATED AGREEMENTS. 1803131 296850 1125295 9489420 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 1 0 1 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 183 0 1 81 1 1 1 0 0 0 0 0 0 0 0 0 X 14 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 IL X SHARI FRANKLIN 6305730600 3300 WOODCREEK DRIVE DOWNERS GROVE IL 60515 KENNETH R MCQUAID MD PRESIDENT 2.00 X 45000 0 0 KAREN L WOODS MD PRESIDENT - ELECT 2.00 X 2500 0 0 JOHN VARGO MD SECRETARY 2.00 X 5000 0 0 STEVEN A EDMUNDOWICZ MD TREASURER 2.00 X 12500 0 0 DOUGLAS K REX MD TREASURER - ELECT 2.00 X 3000 0 0 COLLEEN M SCHMIT MD PAST PRESIDENT 2.00 X 0 0 0 DOUGLAS O FAIGEL PAST PRESIDENT 2.00 X 37500 0 0 MICHELLE ANDERSON MD COUNCILOR 2.00 X 1000 0 0 SUBHAS BANERJEE MD COUNCILOR 2.00 X 0 0 0 BRIAN C JACOBSON MD COUNCILOR 2.00 X 2000 0 0 JOHN A MARTIN MD COUNCILOR 2.00 X 0 0 0 SARA A RODRIGUEZ MD COUNCILOR 2.00 X 0 0 0 PRATEEK SHARMA MD COUNCILOR 2.00 X 0 0 0 JOHN L PETRINI MD FOUNDATION CHAIR 2.00 X 0 0 0 PATRICIA BLAKE CHIEF EXECUTIVE OFFICER 40.00 X 410127 0 44806 SAMUEL HAROZ CHIEF FINANCIAL OFFICER 40.00 X 202676 0 26785 BARBARA MUELLER-CONNELL CHIEF OPERATING OFFICER 40.00 X 233969 0 18710 JENNIFER MICHALEK CHIEF COMMUNICATIONS OFFICER 40.00 X 186243 0 19842 LINDA TYLER DIRECTOR OF SALES AND BUSINESS DEVELOPMENT 40.00 X 151603 0 20307 ROBIN ROSS DIRECTOR OF TECHNOLOGY 40.00 X 147661 0 11795 LAKITIA MAYO DIRECTOR OF HEALTH POLICY AND QUALITY 40.00 X 140164 0 22943 VANESSA KIZART DIRECTOR OF CONFERENCE SERVICES 40.00 X 134260 0 7973 KATHRYN DATTOMO FOUNDATION DIRECTOR 40.00 X 130134 0 13499 1845337 0 186660 19 0 1 0 ASSOCIATION DEVELOPMENT SOLUTIONS 40 SHUMAN BLVD NAPERVILLE IL 60563 CONSULTANT BOW CAMPAIGN 253500 1 66550 5207623 692412 5274173 PHYSICIAN/PROFESSIONAL EDUCATION 611710 5546943 5400138 146805 MEMBERSHIP 611430 2901410 2880035 21375 EXTERNAL SERVICES 611430 435538 435538 DIGESTIVE HEALTHWORKS 611710 197530 197530 GOVERNANCE 611430 27660 27660 9109081 515725 515725 878377 878377 1230688 976490 254198 254198 254198 12600746 12389951 151326 210795 -151326 59469 59469 75260 66550 126052 -50792 -50792 624319 137192 487127 487127 OTHER 900099 5100 5100 5100 16532458 9433128 168180 1656977 252500 252500 18000 18000 26350 26350 1014524 629394 340435 44695 4356316 2898890 1251568 205858 175114 175114 609649 20862 588787 405775 12269 393506 53911 53911 38483 605 37878 33042 33042 296500 296500 75189 75189 668237 440054 228183 67840 61245 6595 2047690 1081993 882786 82911 380317 100956 278995 366 207 207 182521 15892 166629 1433838 1322368 54208 57262 950384 893780 49111 7493 838066 838066 1069192 1069192 69130 14884 54246 HONORARIUM 684850 684850 SUBSCRIPTIONS 632665 616551 15789 325 MISCELLANEOUS 300739 120828 172586 7325 OTHER 237797 21616 209229 6952 298376 201415 96961 17217202 9489420 7018095 709687 104193 60804 2929575 2385107 1692897 2153434 808150 339615 117394 139323 281876 743055 23031778 5422245 18723987 17609533 17578754 11112399 79316 79316 42316142 34622586 1336321 1551826 150000 2578599 2436529 19858636 12118666 0 318456 23773556 16575477 X 11139785 11150840 2549340 2018508 4853461 4877761 18542586 18047109 42316142 34622586 X -684744 479717 -487672 197222 X X 0 1 X 1 0 X 7698217 6448378 6652631 6774092 8154208 35727526 7698217 6448378 6652631 6774092 8154208 35727526 5259016 30468510 411452 613419 1160502 1107464 2624790 5917627 -3435 -10162 -122996 -41348 -125567 -303508 114046 231340 307438 628144 80360 1361328 42702973 30132458 0.71350 0.72380 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 118739 0 0 118739 0 FORM 990 SCHEDULE C, PART II-B, LINE 1(G) THE ORGANIZATION RETAINS A LOBBYING REPRESENTATIVE IN WASHINGTSON DC IN ORDER TO MAINTAIN AWARENESS OF CURRENT PUBLIC POLICY AND TO VOICE THE ORGANIZATION'S OPINION ON POTENTIAL LEGISLATION THAT WILL AFFECT THE MEDICAL INDUSTRY. 5125299 24300 270287 185000 5234886 5318139 17100 -49940 160000 5125299 5218000 11450 173689 85000 5318139 5016673 9350 191977 5218000 4963268 9600 43805 5016673 0.02400 0.93200 0.04400 0 0 3033840 3033840 15061578 3059076 12002502 829704 195109 634595 2694548 755953 1938595 1412108 1412107 1 17609533 INTEREST RATE SWAP LIABILITY 290450 DEFERRED COMPENSATION OBLIGATION 28006 318456 X PART V, LINE 4: EACH ENDOWMENT FUND HAS ITS OWN SPECIFIED USES HOWEVER, IN GENERAL, EACH FUND IS A RESEARCH ENDOWMENT FUND. THE PROCEEDS FROM THESE FUNDS ARE USED IN ACCORDANCE WITH THE RESTRICTIONS STATED WHEN THE FUNDS ARE RECEIVED. PART X, LINE 2: THE SOCIETY HAS ADOPTED THE REQUIREMENTS FOR ACCOUNTING FOR UNCERTAIN TAX POSITIONS. THE SOCIETY DETERMINED THAT IT IS NOT REQUIRED TO RECORD A LIABILITY RELATED TO UNCERTAIN TAX POSITIONS FOR THE YEARS ENDED DECEMBER 31, 2016 AND 2015. 1 EAST ASIA AND THE PACIFIC 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION 4470 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION 11410 NORTH AMERICA 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION 10470 0 0 0 0 0 0 26350 0 26350 MEDICAL RESEARCH EAST ASIA AND THE PACIFIC 1 2970 CHECK MEDICAL RESEARCH EUROPE (INCLUDING ICELAND & GREENLAND) 4 9910 CHECK, WIRE MEDICAL RESEARCH NORTH AMERICA 2 10470 CHECK, WIRE 0 0 0 0 0 0 PART I, LINE 2: THE ORGANIZATION REQUIRES THAT ANY USE OF GRANT FUNDS BY REVIEWED BY THE CHIEF FINANCIAL OFFICER AND THE PRESIDENT TO ENSURE THAT SUCH GRANTS ARE USED FOR PROPER PURPOSE AND ARE NOT OTHERWISE DIVERTED FROM THEIR INTENDED USE. X X X 0 ASSOCIATION DEVELOPMENT SOLUTIONS 40 SHUMAN BOULEVARD SUITE 300 NAPERVILLE IL 60563 PLAN AND INITIATE MAJOR FUNDRAISING CAMPAIGN 0 2010551 268500 1742051 FINANCIAL SHARES CORPORATION 907 N ELM STREET SUITE 204 HINSDALE IL 60521 MARKETING AND MARKET RESEARCH 0 0 22500 -22500 2010551 291000 1719551 IL CRYSTAL AWARDS 141810 66550 75260 4009 89740 32303 141810 66550 75260 4009 89740 32303 126052 -50792 SCHEDULE G, PART I, LINE 2B, COLUMN (V) THE ENTITY PROVIDED FUNDRAISING CONSULTING SERVICES TO ASSIST ASGE IN PLANNING, ORGANIZING AND INITIALIZING A MAJOR FUNDRAISING CAMPAIGN. 1 EAST BAY INSTITUTE FOR RESEARCH PO BOX 1908 RANCHO CORDOVA CA 95714 680177975 70000 MEDICAL RESEARCH MCGUIRE RESEARCH INSTITUTE 1201 BROAD ROCK BLD RICHMOND VA 23249 541522206 20000 MEDICAL RESEARCH MOUNT SINAI HOSPITAL 119 E 96TH STREET APT 3 NEW YORK NY 10128 131624096 10000 MEDICAL RESEARCH BAYLOR RESEARCH INSTITUTE 3310 LIVE OAK SUITE 501 DALLAS TX 75204 751921898 75000 MEDICAL RESEARCH THE REGENTS OF THE UNIVERSITY OF CALIFORNIA 11000 KINROSS AVENUE SUITE 211 LOS ANGELES CA 900951406 956006143 75000 MEDICAL RESEARCH 5 0 MEDICAL RESEARCH 7 18000 PART I, LINE 2: THE ORGANIZATION REQUIRES THAT ANY USE OF GRANT FUNDS BE REVIEWED BY THE CHIEF FINANCIAL OFFICER AND THE PRESIDENT TO ENSURE THAT SUCH GRANTS ARE USED FOR PROPER PURPOSES AND ARE NOT OTHERWISE DIVERTED FROM THEIR INTENDED USE. X X X X 0 0 0 0 0 0 0 0 0 PATRICIA BLAKE CHIEF EXECUTIVE OFFICER 384827 0 25300 0 0 0 7950 0 36856 0 454933 0 0 0 SAMUEL HAROZ CHIEF FINANCIAL OFFICER 194676 0 8000 0 0 0 6080 0 20705 0 229461 0 0 0 BARBARA MUELLER-CONNELL CHIEF OPERATING OFFICER 225969 0 8000 0 0 0 7019 0 11691 0 252679 0 0 0 JENNIFER MICHALEK CHIEF COMMUNICATIONS OFFICER 178243 0 8000 0 0 0 5587 0 14255 0 206085 0 0 0 LINDA TYLER DIRECTOR OF SALES AND BUSINESS DEVEL 147603 0 4000 0 0 0 4548 0 15759 0 171910 0 0 0 ROBIN ROSS DIRECTOR OF TECHNOLOGY 144161 0 3500 0 0 0 0 0 11795 0 159456 0 0 0 LAKITIA MAYO DIRECTOR OF HEALTH POLICY AND QUALIT 136164 0 4000 0 0 0 0 0 22943 0 163107 0 0 0 PART I, LINE 3 COMPENSATION FOR THE CEO/EXECUTIVE DIRECTOR IS DETERMINED BY THE COMPENSATION COMMITTEE, WHICH IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS. THE DETERMINATION OF COMPENSATION IS BASED ON A COMPARABILITY STUDY THAT IS PREPARED EVERY OTHER YEAR BY AN OUTSIDE HUMAN RESOURCES FIRM. X MEDICAL EQUIPMENT 135 606962 FAIR MARKET VALUE X HONORARIA 45 85450 FAIR MARKET VALUE 0 1 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOCIETY HAS EIGHT CLASSES OF MEMBERHIP: ACTIVE, FELLOW, SENIOR, HONORARY, INTERNATIONAL, TRAINEE, ASSOCIATE AND AFFILIATE. FORM 990, PART VI, SECTION A, LINE 7A ACTIVE MEMBERS IN ATTENDANCE AT THE ANNUAL MEETING MAY ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY OF THE SOCIETY. FORM 990, PART VI, SECTION A, LINE 7B ACTIVE MEMBERS IN ATTENDANCE AT THE ANNUAL MEETING VOTE ON DECISIONS OF THE GOVERNING BODY OF THE SOCIETY THAT ARE SUBJECT TOT HE APPROVAL OF THE MEMBERSHIP. THESE DECISIONS INCLUDE CHANGES TO THE BY LAWS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE AUDIT COMMITTE, THE EXECUTIVE DIRECTOR, THE CHIEF FINANCIAL OFFICER AND OTHER MEMBERS OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE MEMBER-DOCTORS IN LEADERSHIP POSITIONS ARE REQUIRED TO PROVIDE WRITTEN DCUMENTATION TO DISCLOSE ANY CONFLICTS OF INTEREST. THIS PROCESS OCCURS ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION FOR ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES IS DETERMINED BY THE COMPENSATION COMMITTEE, WHICH IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS. THE DETERMINATION OF COMPENSATION IS BASED ON A COMPARABILITY STUDY THAT IS PREPARED EVERY OTHER YEAR BY AN OUTSIDE HUMAN RESOURCES FIRM. THE SENIOR DIRECTOR OF HUMAN RESOURCES DOCUMENTS ALL INFORMATION AND DELIBERATION REGARDING DETERMINATION OF COMPENSATION EMPLOYEES HAVE A FORMAL ANNUAL REVIEW OF PERFORMANCE BY THEIR MANAGER. ALL STAFF SALARIES ARE APPROVED BY THE EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990 PART VI, SECTION A, LINE 6 THE SOCIETY SHALL HAVE EIGHT CLASSES OF MEMBERSHIP ACTIVE, FELLOW, ENIOR, HONORARY, INTERNATIONAL, TRAINEE, ASSOCIATE AND AFFILIATE. FORM 990 PART VI, SECTION A, LINE 7A ONLY ACTIVE MEMBERS IN ATTENDANCE AT THE ANNUAL MEETING MAY ELECT ONE OR MORE MEMBERS OF THE OVERNING BODY OF THE SOCIETY. FORM 990, PART VI, SECTION A, LINE 7B ONLY ACTIVE MEMBERS IN ATTENDANCE AT THE ANNUAL MEETING VOTE ON DECISIONS OF THE GOVERNING BODY OF THE SOCIETY THAT ARE SUBJECT TOT HE APPROVAL OF THE MEMBERSHIP. THESE DECISIONS INCLUDECHANGES TO THE BY LAWS. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS REVIEWED BY THE AUDIT COMMITTEE. THE EXECUTIVE DIRECTOR AND THE DIRECTOR OF FINANCE, AND OTHER MEMBERS OF THE BOARD. FORM 990 , PART VI, SECTION B, LINE 15 COMPENSATION FOR ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES IS DETERMINED BY THE COMPENSATION COMMITTEE, WHICH IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS. THE DETERMINATION OF COMPENSATION IS BASED ON A COMPARABILITY STUDY THAT IS PREPARED EVERY OTHER YEAR BY AN OUTSIDE HUMAN RESOURCES FIRM. THE SENIOR DIRECTOR OF HUMAN RESOURCES DOCUMENTS ALL INFORMATIONAND DELIBERATION REGARDING DETERMINATION OF COMPENSATION EMPLOYEES HAVE A FORMAL ANNUAL REVIEW OF PERFORMANCE BY THEIR MANAGER. ALL STAFF SALARIES ARE APPROVED BY THE EXECUTIVE DIRECTOR. FORM 990 , PART VI, SECTION C, LINE 19 DOCUMENTS PUBLISHED ON THE ORGANIZATION'S WEBSITE STATE THAT THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: NET GAIN ON INTEREST RATE SWAP OBLIGATION 197,222. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. DIGESTIVE HEALTHWORKS LLC 3300 WOODCREEK DRIVE DOWNERS GROVE IL 60515 371595036 MANAGEMENT SERVICES IL 197530 217225 ASGE