TY 2022 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/1099-NEC)

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

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

(1) JACOB W ORMSBY MD MBA MRMD......................................................................
MEMBER-AT-LARGE

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

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

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

(3) JENNIFER MCCARTY MD......................................................................
MEMBER-AT-LARGE

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

(4) ICHIRO IKUTA MD......................................................................
MEMBER-AT-LARGE

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

(5) CARLOS H TORRES MD FRCPC......................................................................
MEMBER-AT-LARGE

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

(6) VINIL N SHAH MD......................................................................
MEMBER-AT-LARGE

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

(7) JACK W JENNINGS MD PHD......................................................................
FIRST PAST-PRESIDENT

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

(8) LUBDHA M SHAH MD......................................................................
SECOND PAST-PRESIDENT

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

(9) DANIEL TD NGUYEN MD......................................................................
THIRD PAST-PRESIDENT

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

(10) M JUDITH DONOVAN POST MD FACR......................................................................
ACR COUNCILOR

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

(11) WENDE N GIBBS MD......................................................................
PRESIDENT

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

(12) J LEVI CHAZEN MD......................................................................
PRESIDENT-ELECT

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

(13) PETER KRANZ MD......................................................................
VICE PRESIDENT

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

(14) TIMOTHY J AMRHEIN MD......................................................................
SECRETARY/TREASURER

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/1099-NEC)

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

(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

- TIN:

SCHEDULE O
(Form 990)

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

2021

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	MISCELLANEOUS: PROGRAM SERVICE EXPENSES 390. MANAGEMENT AND GENERAL EXPENSES 15,949. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,339. BANK FEES: PROGRAM SERVICE EXPENSES 11,616. MANAGEMENT AND GENERAL EXPENSES 2,904. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,520. ASSR RESEARCH AWARD: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 10,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,000. HOTEL ANNUAL MEETING: PROGRAM SERVICE EXPENSES 9,319. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,319. STAFF ROOM AND EXPENSES: PROGRAM SERVICE EXPENSES 6,721. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,721. STAFF TRAVEL: PROGRAM SERVICE EXPENSES 6,187. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,187. CME ACCREDITATION: PROGRAM SERVICE EXPENSES 4,725. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,725. WEBSITE: PROGRAM SERVICE EXPENSES 3,799. MANAGEMENT AND GENERAL EXPENSES 716. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,515. HONORARIA MENTOR AWARD: PROGRAM SERVICE EXPENSES 2,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,500. BEST PAPER AWARD: PROGRAM SERVICE EXPENSES 2,250. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,250. ABSTRACT MANAGEMENT: PROGRAM SERVICE EXPENSES 2,250. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,250. PRINTING: PROGRAM SERVICE EXPENSES 1,994. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,994. MARKETING AND MATERIAL: PROGRAM SERVICE EXPENSES 1,950. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,950. GOLD MEDAL: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 990. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 990. SITE VISIT: PROGRAM SERVICE EXPENSES 943. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 943. CERTIFICATES AND HONORARIA: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 937. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 937. GRATUITIES: PROGRAM SERVICE EXPENSES 750. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 750. POSTAGE AND FREIGHT: PROGRAM SERVICE EXPENSES 422. MANAGEMENT AND GENERAL EXPENSES 46. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 468. FOREIGN TAX PAID ON INVESTMENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 166. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 166.

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

Cat. No. 51056K

Schedule O (Form 990) 2021

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	14
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	14
5	Total number of individuals employed in calendar year 2021 (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, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,626	1,310
9	Program service revenue (Part VIII, line 2g) .........	203,573	486,082
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	8,415	8,018
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	38,777	-69,338
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	252,391	426,072
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)....	174,106	413,268
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	174,106	413,268
19	Revenue less expenses. Subtract line 18 from line 12.......	78,285	12,804
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	731,048	866,929
21	Total liabilities (Part X, line 26).............	48,323	171,400
22	Net assets or fund balances. Subtract line 21 from line 20.....	682,725	695,529

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 353,438 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 expenses353,438

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	1,310

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

h Total. Add lines 1a-1f.......		1,310

		Business Code
2a	ANNUAL MEETING	900099	420,305	420,305
b	MEMBERSHIP DUES	900099	65,777	65,777
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		486,082

3 Investment income (including dividends, interest, and othersimilar amounts) ......			8,018	8,018
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	VANGUARD CAP GAIN DIST		900099	1,888	1,888
b	UNREALIZED GAIN/LOSS O		900099	-71,226	-71,226
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			-69,338
12	Total revenue. See instructions.....			426,072	424,762	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 ......	14,789		14,789
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)	10,000		10,000
12	Advertising and promotion ....
13	Office expenses .......	5,799	5,799
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 ...	1,133		1,133
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	FACULTY DINNER	160,215	160,215
b	AUDIO VISUAL	61,355	61,355
c	CONTRACTUAL FEES	49,200	48,000	1,200
d	PROGRAM EXPENSES	22,253	22,253
e	All other expenses	87,524	55,816	31,708
25	Total functional expenses. Add lines 1 through 24e	413,268	353,438	59,830	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 .........		143,532	2	364,622
3	Pledges and grants receivable, net ......			3
4	Accounts receivable, net .............		145,904	4
5	Loans and other receivables from 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 ......		3,300	9	125,482
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 .		438,312	11	376,825
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)...		731,048	16	866,929

17	Accounts payable and accrued expenses .....	5,042	17	19,575
18	Grants payable ...		18
19	Deferred revenue .........	43,281	19	151,825
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..	48,323	26	171,400

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	682,725	27	695,529
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 ...........	682,725	32	695,529
33	Total liabilities and net assets/fund balances ........	731,048	33	866,929