2016-10-16T03:41:00-05:00 2015-12-31 521511275 RAFFA PC 1899 L STREET NW SUITE 850 WASHINGTON DC 20036 990 2015-01-01 133048373 AMERICAN SOCIETY OF TRANSPLANT SURGEONS AMER 7034147870 2461 SOUTH CLARK STREET NO 640 ARLINGTON VA 22202 KIMBERLY A GIFFORD MBA EXECUTIVE DIRECTOR 7034147870 2016-10-16 1 FRANK H SMITH P00639053 2028225000 2016-10-16 2015 2017-02-10 21:41:12Z KIMBERLY A GIFFORD MBA 2461 SOUTH CLARK STREET NO 640 ARLINGTON VA 22202 5008888 0 X WWW.ASTS.ORG X 1974 OR TO ADVANCE THE ART AND SCIENCE OF TRANSPLANT SURGERY; SAVE AND IMPROVE LIVES WITH TRANSPLANTATION. 15 15 13 350 49077 33628 2829867 2861040 2279173 2115569 561 606 33947 29510 5143548 5006725 568919 336068 0 0 1061715 1180260 0 0 11903 3777475 3942969 5408109 5459297 -264561 -452572 3222054 2716700 681796 629014 2540258 2087686 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 1 2341076 0 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. 1279290 397980 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. 772280 10000 487065 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. 339819 326068 0 GRANTS AND AWARDS 194690 0 PUBLIC AWARENESS 56187 1230525 JOINT ASTS/AST 10143 5606 OTHER PROGRAMS 600839 326068 1236131 4993485 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 24 0 1 13 1 1 1 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 AL AK CA CO AZ DE FL GA IL KS KY ME CT OR VA OK PA RI TN UT TX WA WV WI MA MD MN MI MS MO NJ NM NY NC ND OH SC X KIMBERLY A GIFFORD MBA 7034147870 2461 SOUTH CLARK STREET NO 640 ARLINGTON VA 22202 PETER G STOCK MD PHD PRES.- UNTIL 04/2015/ IMM PAST PRES. 8.00 0.50 X X 0 0 0 CHARLES M MILLER MD PRES-ELECT- UNTIL 04/2015/ PRES. 8.00 0.50 X X 0 0 0 KIM M OLTHOFF MD PAST PRESIDENT - UNTIL 04/2015 3.00 0.50 X X 0 0 0 ALAN N LANGNAS DO IMM PAST PRES.- UNTIL 04/2015/ PAST PRES. 3.00 1.00 X X 0 0 0 DIXON B KAUFMAN MD PHD SECRETARY 3.00 0.50 X X 0 0 0 TIMOTHY L PRUETT MD TREASURER- UNTIL 04/2015/ PRES-ELECT 3.00 0.50 X X 0 0 0 LLOYD E RATNER MD MPH COUN. AT LARGE- UNTIL 04/2015/TREAS. 3.00 0.50 X X 0 0 0 GINNY L BUMGARDNER MD PHD COUNCILOR-AT-LARGE 1.00 0.50 X 0 0 0 WILLIAM C CHAPMAN MD COUNCILOR-AT-LARGE 1.00 0.50 X 0 0 0 KENNETH D CHAVIN MD PHD COUNCILOR-AT-LARGE 1.00 0.50 X 0 0 0 JEAN C EMOND MD COUNCILOR-AT-LARGE- UNTIL 04/2015 1.00 0.50 X 0 0 0 CARLOS O ESQUIVEL MD PHD COUNCILOR-AT-LARGE 1.00 0.50 X 0 0 0 DOUGLAS G FARMER MD COUNCILOR-AT-LARGE 1.00 0.50 X 0 0 0 A OSAMA GABER MD FACS COUNCILOR-AT-LARGE 1.00 0.50 X 0 0 0 ABHINAV HUMAR MD COUNCILOR-AT-LARGE- UNTIL 04/2015 1.00 0.50 X 0 0 0 JAMES F MARKMANN MD PHD COUNCILOR-AT-LARGE 1.00 0.50 X 0 0 0 DORRY L SEGEV MD PHD COUNCILOR-AT-LARGE 1.00 0.50 X 0 0 0 MARK D STEGALL MD COUNCILOR-AT-LARGE 1.00 0.50 X 0 0 0 KIMBERLY A GIFFORD MBA EXECUTIVE DIRECTOR 38.00 2.00 X 205610 18415 21837 LAUREL KULIKOSKY SR. DIRECTOR, STRATEGIC INITIATIVES 38.00 2.00 X 113448 2694 9559 PATRICIA HOLLYN WARREN DIRECTOR, NLDAC OPERATIONS 40.00 0.00 X 108740 0 20620 427798 21109 52016 3 0 1 0 LOEWS MIAMI BEACH HOTEL 1601 COLLINS AVENUE MIAMI BEACH FL 33139 CONFERENCE HOTEL 366093 KELLOGG SCHOOL OF MANAGEMENT 2169 N CAMPUS DRIVE EVANSTON IL 60208 LEADERSHIP DEVELOPMENT 290625 POWERS PYLE SUTTER & VERVILLE 1501 M STREET NW 7TH FLOOR WASHINGTON DC 20005 CONSULTING 183701 CCR SOLUTIONS INC 8811 BOGGY CREEK ROAD ORLANDO FL 32824 AUDIO/VIDEO ASSISTANCE 120217 4 2313215 547825 2861040 CONFERENCES & MEETINGS 900099 1104101 1065101 39000 PUBLICATIONS 900099 402584 362558 40026 LEADERSHIP DEVELOPMENT 900099 300404 300404 MEMBERSHIP DUES 900099 188680 188680 ACCREDITATION 900099 119800 119800 2115569 606 606 9665 9665 7769 2163 5606 5606 WEB ADVERTISING 541800 9051 9051 LIST RENTAL 900099 5000 5000 OTHER INCOME 900099 188 188 14239 5006725 2042149 49077 54459 336068 336068 225382 186556 38060 766 750784 589783 157586 3415 38450 30243 8034 173 98401 79471 18487 443 67243 53432 13522 289 8863 8472 383 8 65266 51859 13127 280 91561 91561 180876 180843 33 93350 83585 9548 217 130494 119055 11221 218 161303 128168 32442 693 492388 421029 68518 2841 728014 655265 70530 2219 44677 35499 8986 192 13292 10876 2366 50 UBI TAXES 841 668 169 4 ORGAN DONOR ASSISTANCE 1906849 1906849 DUES AND SUBSCRIPTIONS 15067 14254 796 17 CME ACCREDITATION 8593 8593 1535 1356 134 45 5459297 4993485 453909 11903 599399 967494 1349232 749838 316495 33192 296220 319624 5140 5270 117127 171304 284187 193825 45067 90362 476129 362371 17245 17245 3222054 2716700 219460 168758 381395 391354 80941 68902 681796 629014 X 2440258 2087686 100000 0 2540258 2087686 3222054 2716700 -452572 0 X 0 1 X 1 1 1 X 2097379 2528129 2677938 2829867 2861040 12994353 2097379 2528129 2677938 2829867 2861040 12994353 616385 12377968 293931 323101 13115 6221 15271 651639 60989 72909 65328 27799 34628 261653 36028 18900 3498 2080 188 60694 13968339 10083248 0.88610 0.80180 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2011 AMOUNT: $ 36,028. 2012 AMOUNT: $ 18,900. 2013 AMOUNT: $ 3,498. 2014 AMOUNT: $ 2,080. 2015 AMOUNT: $ 188. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 91561 0 0 91561 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. 35838 31157 4681 248349 162668 85681 90362 INVESTMENT IN JOINT COUNCIL 362371 C 362371 DEFERRED RENT 68902 68902 1 ASTS FOUNDATION 2461 SOUTH CLARK STREET SUITE 640 ARLINGTON VA 22202 320020119 501(C)(3) 326068 GENERAL SUPPORT NORTHWESTERN MEMORIAL HEALTHCARE 675 N ST CLAIR STREET GALTER 3-104H 3-104H CHICAGO IL 60611 370960170 501(C)(3) 10000 2ND INTERNATIONAL WORKSHOP FOR CLINICAL INTOLERANCE 2 0 PART I, LINE 2: THE SOCIETY PROVIDES ANNUAL RESEARCH GRANT FUNDING TO ACADEMIC INSTITUTIONS. SUCH FUNDING SUPPORTS THE SOCIETY'S MEMBERS AND THEIR TRAINEES TO CONDUCT RESEARCH IN THE FIELD OF TRANSPLANTATION. GRANTEES MUST ADHERE TO GUIDELINES AS OUTLINED ON THE SOCIETY'S WEBSITE WHICH IS MONITORED BY THE SOCIETY'S MANAGEMENT. X X X X 0 0 0 0 0 0 0 1 0 KIMBERLY A GIFFORD MBA EXECUTIVE DIRECTOR 192187 17213 13423 1202 0 0 9637 863 10405 932 225652 20210 0 0 PART I, LINE 7 LAUREL KULIKOSKY, SENIOR DIRECTOR, STRATEGIC INITIATIVES, RECEIVED A BONUS WHICH WAS AWARDED BASED ON AN EVALUATION OF HER PERFORMANCE. FORM 990, PART III, LINE 3 THE SOCIETY HAS A 33% INTEREST IN AN UNINCORPORATED JOINT VENTURE CALLED THE WORLD TRANSPLANT CONGRESS (WTC). WTC IS A CONFERENCE THAT CAN BE HELD IN LIEU OF THE ANNUAL CONFERENCE. THE WTC WAS DISSOLVED DURING 2015. 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 11 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. 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 11A, I 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 326068 CASH ASTS FOUNDATION O 56563 CASH