TY 2019 Form 990

(A)
Name and title

(B)
Average hours per week (list any hours for related organizations below dotted line)

(D)
Reportable compensation from the organization (W-2/1099-MISC)

(E)
Reportable compensation from related organizations (W-2/1099-MISC)

(F)
Estimated amount of other compensation from the organization and related organizations

(1) MICHELE H JOHNSON MD......................................................................
PRESIDENT

1.00
.................

(2) DANIEL T D NGUYEN MD......................................................................
PRESIDENT-ELECT

1.00
.................

(3) LUBDHA M SHAH MD......................................................................
VICE PRESIDENT

1.00
.................

(4) ALLISON M GRAYEV MD......................................................................
SECRETARY/TREAS

1.00
.................

(5) GAURANG V SHAH MD......................................................................
MEMBER-AT-LARGE

1.00
.................

(6) EDWARD P QUIGLEY III MD PHD......................................................................
MEMBER-AT-LARGE

1.00
.................

(7) JENNIFER L MCCARTY MD......................................................................
MEMBER-AT-LARGE

1.00
.................

(8) AMISH H DOSHI MD......................................................................
MEMBER-AT-LARGE

1.00
.................

(9) JACK W JENNINGS MD PHD......................................................................
MEMBER-AT-LARGE

1.00
.................

(10) SUSAN PALASIS MD......................................................................
MEMBER-AT-LARGE

1.00
.................

(11) JOHN L GO MD......................................................................
FIRST PAST-PRESIDENT

1.00
.................

(12) JOHN D BARR MD......................................................................
SECOND PAST-PRESIDENT

1.00
.................

(13) JOSHUA A HIRSCH MD......................................................................
THIRD PAST-PRESIDENT

1.00
.................

(14) WALTER S BARTYNSKI MD......................................................................
ACR COUNCILOR (EX-OFFICIO)

1.00
.................

(15) JOSEPH C SULLIVAN MD......................................................................
ALTERNATE ACR CONCILOR

1.00
.................

(A)
Name and title

(B)
Average hours per week (list any hours for related organizations below dotted line)

(D)
Reportable compensation from the organization (W-2/1099-MISC)

(E)
Reportable compensation from related organizations (W-2/1099-MISC)

(F)
Estimated amount of other compensation from the organization and related organizations

(A)
Name and business address

(B)
Description of services

Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet


Name of organization AMERICAN SOCIETY OF SPINE RADIOLOGY	Employer identification number 91-1996464
Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)


Name of organization AMERICAN SOCIETY OF SPINE RADIOLOGY	Employer identification number 91-1996464
Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

AMERICAN SOCIETY OF SPINE RADIOLOGY

Employer identification number

91-1996464

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 3	LINE 3 EXPLANATION - MEETING PLANNING AND ADMINISTRATION
FORM 990, PART VI, SECTION A, LINE 6	LINE 6 EXPLANATION - THE AMERICAN SOCIETY OF SPINE RADIOLOGY IS A NON-PROFIT ORGANIZATION COMPRISED OF MEMBER PHYSICIANS WHO PRACTICE WITHIN THE FIELD OF SPINE RADIOLOGY-IMAGING OF THE SPINE.
FORM 990, PART VI, SECTION A, LINE 7A	LINE 7A EXPLANATION - THE GOVERNING BODY OF THE SOCIETY IS THE EXECUTIVE COMMITTEE COMPRISED OF FOURTEEN VOTING MEMBERS. EACH YEAR, CANDIDATES FOR OPEN POSITIONS ARE SELECTED VIA A CALL FOR NOMINATIONS PROCESS. THE NOMINATING COMMITTEE THEN DETERMINES THE CANDIDATES TO BE PLACED ON THE BALLOT. THE VOTING MEMBERS OF THE SOCIETY THEN VOTE VIA A BALLOT SYSTEM.
FORM 990, PART VI, SECTION B, LINE 11B	LINE 11A EXPLANATION - THE SOCIETY'S FORM 990, PREPARED BY INDEPENDENT ACCOUNTANTS, IS PROVIDED TO THE SOCIETY'S FINANCE DIRECTOR FOR REVIEW AND DISSEMINATION TO APPROPRIATE DIRECTORS PRIOR TO FILING.
FORM 990, PART VI, SECTION C, LINE 19	THE SOCIETY'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO SOCIETY MEMBERS UPON REQUEST.
FORM 990, PART IX, LINE 24E	RECEPTIONS: PROGRAM SERVICE EXPENSES 24,180. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,180. COFFEE BREAKS: PROGRAM SERVICE EXPENSES 22,536. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,536. FACULTY DINNER: PROGRAM SERVICE EXPENSES 18,563. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,563. PRINTING: PROGRAM SERVICE EXPENSES 9,542. MANAGEMENT AND GENERAL EXPENSES 1,381. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,923. SPEAKER TRAVEL AND MEALS: PROGRAM SERVICE EXPENSES 8,880. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,880. CONTRACTUAL FEES: PROGRAM SERVICE EXPENSES 6,221. MANAGEMENT AND GENERAL EXPENSES 2,238. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,459. STAFF ROOM AND EXPENSES: PROGRAM SERVICE EXPENSES 7,760. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,760. REPRESENTATION: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 6,549. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,549. MEETING PLANNER: PROGRAM SERVICE EXPENSES 6,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,500. MARKETING MATERIAL: PROGRAM SERVICE EXPENSES 6,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,000. WEBSITE: PROGRAM SERVICE EXPENSES 689. MANAGEMENT AND GENERAL EXPENSES 3,605. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,294. HONORARIA MENTOR AWARD: PROGRAM SERVICE EXPENSES 3,750. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,750. CME ACCREDITATION: PROGRAM SERVICE EXPENSES 3,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,500. POSTAGE AND FREIGHT: PROGRAM SERVICE EXPENSES 2,293. MANAGEMENT AND GENERAL EXPENSES 881. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,174. REGISTRATION ASSISTANCE: PROGRAM SERVICE EXPENSES 3,094. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,094. BANK FEES: PROGRAM SERVICE EXPENSES 50. MANAGEMENT AND GENERAL EXPENSES 2,048. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,098. ABSTRACT MANAGEMENT: PROGRAM SERVICE EXPENSES 1,980. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,980. STAFF TRAVEL: PROGRAM SERVICE EXPENSES 1,967. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,967. GOLD MEDAL: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 676. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 676. EXECUTIVE COMMITTEE MISC: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES -309. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -309.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO ADVANCE THE KNOWLEDGE AND DEVELOPMENT OF SPINE RADIOLOGY
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	15
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	15
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	70,000	68,500
9	Program service revenue (Part VIII, line 2g) .........	203,941	293,434
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	2,812	3,300
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	-4,093	21,007
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	272,660	386,241
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	0	0
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	379,270	305,204
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	379,270	305,204
19	Revenue less expenses. Subtract line 18 from line 12.......	-106,610	81,037
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	280,145	347,473
21	Total liabilities (Part X, line 26).............	57,367	43,658
22	Net assets or fund balances. Subtract line 21 from line 20.....	222,778	303,815

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 268,168 including grants of $ ) (Revenue $ )
	TO ADVANCE THE KNOWLEDGE AND DEVELOPMENT OF SPINE RADIOLOGY.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses268,168

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 0

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	68,500

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		68,500

		Business Code
2a	ANNUAL MEETING	900099	244,368	244,368
b	MEMBERSHIP DUES	900099	49,066	49,066
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		293,434

3 Investment income (including dividends, interest, and othersimilar amounts) ......			3,300	3,300
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)			6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory			7a
b	Less: cost or other basis and sales expenses			7b
c	Gain or (loss)			7c
d	Net gain or (loss).........
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	UNREALIZED GAIN/LOSS O		900099	19,786	19,786
b	VIDEO TAPES		900099	1,221	1,221
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			21,007
12	Total revenue. See instructions.....			386,241	317,741	0	0

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......
10	Payroll taxes ...........
11	Fees for services (non-employees):
a	Management ......	15,000		15,000
b	Legal .........
c	Accounting ...........	1,000	1,000
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	2,923		2,923
12	Advertising and promotion ....	3,500	3,500
13	Office expenses .......	1,947	1,947
14	Information technology ......
15	Royalties ..
16	Occupancy ...........
17	Travel ............
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..
23	Insurance ...	1,997		1,997
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	HOTEL ANNUAL MEETING	41,816	41,816
b	AUDIO VISUAL	37,792	37,792
c	MISCELLANEOUS	27,524	27,477	47
d	BREAKFASTS	27,131	27,131
e	All other expenses	144,574	127,505	17,069
25	Total functional expenses. Add lines 1 through 24e	305,204	268,168	37,036	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			1
2	Savings and temporary cash investments .........		91,093	2	48,964
3	Pledges and grants receivable, net ......			3
4	Accounts receivable, net .............		66,351	4	97,240
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				6
7	Notes and loans receivable, net ...........			7
8	Inventories for sale or use ............			8
9	Prepaid expenses and deferred charges ......		5,607	9	61,093
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a
b	Less: accumulated depreciation	10b		10c
11	Investments—publicly traded securities .		117,094	11	140,176
12	Investments—other securities. See Part IV, line 11 .....			12
13	Investments—program-related. See Part IV, line 11 ..			13
14	Intangible assets ...............			14
15	Other assets. See Part IV, line 11 ...........			15
16	Total assets. Add lines 1 through 15 (must equal line 33)...		280,145	16	347,473

17	Accounts payable and accrued expenses .....	7,367	17	3,378
18	Grants payable ...		18
19	Deferred revenue .........	50,000	19	40,280
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D		25
26	Total liabilities. Add lines 17 through 25..	57,367	26	43,658

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	222,778	27	303,815
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	222,778	32	303,815
33	Total liabilities and net assets/fund balances ........	280,145	33	347,473


Name of organization AMERICAN SOCIETY OF SPINE RADIOLOGY			Employer identification number 91-1996464
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.