2014-05-12T12:37:57-05:00 2013-06-30 521853933 RIBIS JONES & MARESCA PA 10500 LITTLE PATUXENT PARKWAY SUITE 770 COLUMBIA MD 21044 990 2012-07-01 953388558 AMERICAN UROGYNECOLOGIC SOCIETY AMER 2023671167 2025 M STREET NW NO 800 WASHINGTON DC 20036 MICHELLE ZINNERT 2023671167 2014-05-12 1 DAVID JONES P01361002 4108840220 2012 2015-11-30 17:44:51Z MICHELLE ZINNERT 2025 M STREET NW NO 800 WASHINGTON DC 20036 4116841 0 X WWW.AUGS.ORG X 1979 CA TO PROMOTE THE HIGHEST QUALITY CARE IN FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY THROUGH EXCELLENCE IN EDUCATION, RESEARCH AND ADVOCACY. 13 13 0 0 0 0 341599 513012 1782124 3433181 39186 35969 73029 76769 2235938 4058931 97755 19610 0 0 0 0 0 0 0 2223056 3614331 2320811 3633941 -84873 424990 1507690 2347389 641807 1048275 865883 1299114 X TO PROMOTE THE HIGHEST QUALITY CARE IN FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY THROUGH EXCELLENCE IN EDUCATION, RESEARCH AND ADVOCACY. 1 0 888309 12980 1570857 ANNUAL SCIENTIFIC MEETING - THE ANNUAL SCIENTIFIC MEETING ENABLES MEMBERS TO LEARN THE LATEST FROM EXPERTS IN THE FIELD OF FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY WHILE TAKING ADVANTAGE OF MULTIPLE NETWORKING OPPORTUNITIES WITH OTHERS WHO HAVE SHARED INTERESTS IN UROGYNECOLOGY AND FEMALE UROLOGY. 1056655 1063322 EDUCATIONAL PROGRAMS: THE SOCIETY PROVIDES MULTIPLE EDUCATIONAL PROGRAMS AS FOLLOWS: THE "FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY" EDUCATIONAL PROGRAM IS A TWO DAY PRACTICAL COURSE ON TREATING FEMALE PELVIC FLOOR DISORDERS FOR GYNECOLOGISTS, INTERNISTS, FAMILY PRACTITIONERS, ADVANCED NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, AND NURSES WHO ARE PRESSED FOR TIME AND NEED EFFICIENT STRATEGIES FOR TREATING WOMEN WITH THESE DISORDERS. THE COURSE ALSO FOCUSES ON EXPANDING THE PRACTITIONERS' ABILITY TO EVALUATE AND INITIATE TREATMENT FOR THESE PATIENTS EFFICIENTLY.THE "INNOVATIONS & CONTROVERSIES IN FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY" IS A TWO DAY COURSE INTENDED TO PROVIDE THE CLINICIAN WITH A FUNCTIONAL UNDERSTANDING OF THE LATEST ADVANCES FOR EVALUATING AND TREATING FEMALE PELVIC FLOOR DISORDERS BY PROVIDING DIDACTIC SESSIONS, DISCUSSIONS BY LEADING EXPERTS, HANDS-ON WORKSHOPS, AND INTERACTION WITH FACULTY FROM THE DUKE UNIVERSITY SCHOOL OF MEDICINE. "WHAT PATIENTS DON'T TELL AND DOCTORS DON'T ASK...INCONTINENCE AND PROLAPSE - STARTING THE CONVERSATION" IS A THREE PART ON-LINE COURSE SERIES FOCUSING ON EACH OF THE SPECIFIC TYPES OF PELVIC FLOOR DISORDERS AND PROVIDING THE MOST UP-TO-DATE INFORMATION TO DIAGNOSE THESE MEDICAL CONDITIONS IN PATIENTS. THE COURSE IS DESIGNED FOR PRIMARY CARE PHYSICIANS, PRIMARY CARE RESIDENTS, ALLIED HEALTH PROFESSIONALS, AND OTHER SPECIALISTS WHO REGULARLY PROVIDE CARE FOR WOMEN. THIS COURSE WAS FUNDED BY A GRANT FROM PFIZER, INC. ONLINE LEARNING PROGRAMS - THE "FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY" ("FPMRS") EDUCATIONAL PORTAL PROVIDES ON-LINE ACCESS TO SURGICAL VIDEOS, PREVIOUSLY RECORDED WEBINARS, AND THE NEW COURSE FOR STARTING THE CONVERSATION THROUGH THE SOCIETY'S WEBSITE. PRIMARY CARE PHYSICIAN TOOLKIT - THE TOOLKIT WAS DESIGNED BY THE SOCIETY AND SIX PARTNER ORGANIZATIONS TO INCREASE THE PATIENTS' KNOWLEDGE OF BLADDER CONTROL ISSUES AND TO FACILITATE A DISCUSSION BETWEEN THE CARE PROVIDERS AND THE PATIENTS. 118982 114108 COMMUNICATION AND OUTREACH - THE COMMUNICATION AND OUTREACH PROGRAM PROVIDES EXTERNAL COMMUNICATION TO THE MEMBERSHIP AND THE PUBLIC AT-LARGE THROUGH THE SOCIETY'S WEBSITE, NEWSLETTERS, MEETINGS, AND MEDIA OUTREACH. 92548 4000 GOVERNMENT RELATIONS - THE GOVERNMENT RELATIONS PROGRAM PROMOTES HEALTH POLICIES AND CODING EFFORTS SET FORTH BY THE SOCIETY. THE SOCIETY ASSISTS MEMBERS WITH THE APPLICATION OF GOVERNMENTAL REGULATIONS AND GUIDELINES REGARDING TERMINOLOGY AND CPT/ICD CODING IN UROGYNECOLOGIC PRACTICE. 39017 FELLOWS FORUM - THE FELLOWS FORUM PROVIDES AN OPPORTUNITY FOR FELLOWS FROM ACROSS THE COUNTRY FROM OBGYN AND UROLOGY-BASED PROGRAMS TO MEET ONE ANOTHER, ATTEND EDUCATIONAL SESSIONS, AND PRESENT THEIR SCIENTIFIC WORK. ATTENDANCE AT THE SESSION IS LIMITED TO CURRENT FELLOWS IN TRAINING IN A SMALL GROUP FORMAT. FELLOWS PRESENT THEIR SCIENTIFIC WORK IN A PODIUM SESSION, WHICH IS THEN FOLLOWED BY MODERATED DISCUSSION AMONG THE OTHER FELLOWS. 596311 684894 P.F.D. REGISTRY - THE PELVIC FLOOR DISORDERS REGISTRY (PFDR), THE AMERICAN UROGYNECOLOGIC SOCIETY'S (AUGS) NATIONAL PATIENT REGISTRY, IS A MULTI-CENTERED PROSPECTIVE COHORT STUDY OF PATIENTS UNDERGOING TREATMENT FOR PELVIC ORGAN PROLAPSE (POP) TO EVALUATE THE EFFECTIVENESS, QUALITY OF LIFE AND SAFETY ASSOCIATED WITH BOTH SURGICAL THERAPY (TRANSVAGINAL/TRANSABDOMINAL NATIVE TISSUE REPAIR, TRANSVAGINAL MESH REPAIR AND SACROCOLPOPEXY) AND NON-SURGICAL MANAGEMENT (PESSARY). THE PFDR IS DESIGNED TO COLLECT BOTH PROVIDER AND PATIENT REPORTED OUTCOMES THROUGH BROAD PARTICIPATION FROM SPECIALISTS AND GENERALISTS PERFORMING SURGERY FOR PROLAPSE. 2780 2630 RESEARCH INITIATIVES AND AWARDS THE SOCIETY'S RESEARCH INITIATIVES PROMOTE ADVANCEMENTS IN THE FIELD OF FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY THROUGH SCHOLARSHIPS, ACHIEVEMENT AWARDS, RESIDENT SCHOLARS, RESEARCH SCHOLARS, AND RESEARCH GRANTS. 730656 6630 684894 2794602 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 14 0 1 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 CA DC X SMITHBUCKLIN CORPORATION 2023671167 2025 M STREET NW SUITE 800 WASHINGTON DC 20036 X ANTHONY G VISCO MD 2.00 X X 0 0 0 CHARLES W NAGER MD 2.00 X X 0 0 0 AMY ROSENMAN MD 2.00 X X 0 0 0 RYAN STRATFORD MD MBA 2.00 2.00 X X 0 0 0 MATTHEW BARBER MD MHS 2.00 X 0 0 0 KIMBERLY S KENTON MD MS 2.00 2.00 X 0 0 0 ROGER GOLDBERG MD MPH 2.00 X 0 0 0 CINDY AMUNDSEN MD 2.00 2.00 X 0 0 0 KAREN NOBLETT MD 2.00 X 0 0 0 DOUGLAS S HALE MD FACOG FACS 2.00 X 0 0 0 PETER L ROSENBLATT MD 2.00 X 0 0 0 KRISTENE WHITMORE MD 2.00 5.00 X 0 0 0 CATHERINE A MATTHEWS MD 2.00 2.00 X 0 0 0 MICHELLE ZINNERT 35.00 5.00 X 0 0 0 0 0 0 0 0 0 0 SMITHBUCKLIN CORPORATION 2025 M STREET NW SUITE 800 WASHINGTON DC 20036 MGMT SERVICES INCL ED COMP 1048758 1 513012 513012 ANNUAL MEETING 541700 1151907 1151907 REVIEW COURSE 541700 1063322 1063322 P.F.D. REGISTRY 541700 684894 684894 MEMBERSHIP DUES 541700 381458 381458 AUGS JOURNAL 541700 98083 98083 53517 53517 3433181 29623 29623 68577 68577 64256 57910 6346 6346 6346 REFUNDS AND MISC. 900099 8192 8192 8192 4058931 3433181 0 112738 19610 19610 1248028 691974 556054 181301 162822 18479 12500 12500 6477 150 6327 307934 304137 3797 35527 19500 16027 356754 251362 105392 227516 227516 167303 72303 95000 58839 45214 13625 10165 3656 6509 FOOD & BEVERAGE 440075 438922 1153 AUDIOVISUAL & VENUE REN 245605 245605 EDUCATION AND CERTIFICA 109446 109446 SOCIAL EVENT 99619 99619 107242 102766 4476 3633941 2794602 839339 0 578408 1226498 25000 25000 51020 147876 188815 705386 904842 0 2234 1507690 2347389 126452 174402 457906 834890 57449 38983 641807 1048275 X 681245 990558 184638 208556 100000 865883 1299114 1507690 2347389 424990 8241 0 X X 0 0 1 0 X 486474 280000 544839 341599 513012 2165924 1129480 1520712 1520940 1856653 3433181 9460966 1615954 1800712 2065779 2198252 3946193 11626890 0 0 0 11626890 15692 82181 94232 39186 104546 335837 15692 82181 94232 39186 104546 335837 8192 8192 1631646 1882893 2160011 2237438 4058931 11970919 0.97130 0.96630 0.02810 0.02950 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: REFUNDS MISC - 2012 AMOUNT: $ 8,192. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 161156 161135 -2760 2630 316901 92350 71554 2748 161156 92350 92350 0.21250 0.31560 0.47190 0 0 0 DUE TO AUGS FOUNDATION 38983 38983 X DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: IN AUGUST 2010, THE MAYO CLINIC AND THE DEPARTMENT OF OBSTETRICS AND GYNECOLOGY DONATED $25,000 TO AUGS TO ESTABLISH A NAMED LECTURESHIP IN HONOR OF DR. RAYMOND LEE, A PIONEER IN GYNECOLOGIC SURGERY, AS WELL AS MENTOR AND COLLEAGUE TO MANY AUGS MEMBERS AND LEADERS. THE ENDOWMENT FUNDS ARE EXPECTED TO ACHIEVE A TOTAL RATE OF RETURN TO ALLOW FOR FUNDS SUFFICIENT TO COVER THE HONORARIUM LECTURESHIP AND RELATED TRAVEL EXPENSES. EXCESS FUNDS FROM THE ENDOWMENT EARNINGS MAY BE USED TO FURTHER ADVANCE THE KNOWLEDGE AND TEACHING OF GYNECOLOGIC SURGERY THROUGH ONGOING PROGRAMS OF THE SOCIETY. DURING THE YEAR ENDED JUNE 30, 2013, AUGS RECEIVED FUNDING FROM A DONOR TO ESTABLISH THE MARION J. SIMS ENDOWED LECTURESHIP. INCLUDED IN THIS GRANT WERE STIPULATIONS REQUIRING AUGS TO UTILIZE $100,000 OF THE GRANT TO ESTABLISH AN ENDURING ENDOWMENT OF WHICH ONLY INVESTMENT INTEREST WAS PERMITTED TO BE USED FOR PROGRAM FUNDING. THE REMAINING $25,000 OF THE GRANT WAS SPECIFIED FOR CURRENT USE AND WAS INITIALLY RECORDED AS TEMPORARILY RESTRICTED REVENUES. AS REQUIRED BY GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OF DONOR-IMPOSED RESTRICTIONS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE AMERICAN UROGYNECOLOGIC SOCIETY BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS OR THAT WOULD HAVE AN EFFECT ON ITS TAX-EXEMPT STATUS. THERE ARE NO UNRECOGNIZED TAX BENEFITS OR LIABILITIES THAT NEED TO BE RECORDED. 1 ACS SCHOLARSHIP 1 4000 RESEARCH SCHOLARSHIP GRANTS AND AWARDS 7 6610 RESIDENT SCHOLARSHIP AWARDS 6 9000 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: AUGS DOES NOT ORDINARILY GIVE GRANTS BUT AWARDS SMALL SCHOLARSHIPS FOR EDUCATION AND RESEARCH AND DOES NOT HAVE A GRANT MONITORING PROCEDURE. WHEN A SCHOLARHSIP IS AWARDED, THE APPLICATION AND SELECTION PROCESS CONTAINS PROVISIONS FOR THE USE OF THE SCHOLARSHIP WHICH AUGS BELIEVES CONSTITUTE ADEQUATE MONITORING. 0 0 0 0 0 0 0 0 0 SUPPLEMENTAL INFORMATION PART III PURSUANT TO A MANAGEMENT CONTRACT, MICHELLE ZINNERT, EXECUTIVE DIRECTOR, IS PAID BY SMITHBUCKLIN FOR SERVICES PERFORMED IN HER CAPACITY AS EXECUTIVE DIRECTOR OF THE AMERICAN URO-GYNECOLOGIC SOCIETY. THE AMERICAN URO-GYNECOLOGIC SOCIETY HAS NO KNOWLEDGE OF THE COMPENSATION ARRANGEMENT BETWEEN MS. ZINNERT AND SMITHBUCKLIN CORPORATION. NEW PROGRAM SERVICES FORM 990, PART III, LINE 2 P.F.D. REGISTRY - THE PELVIC FLOOR DISORDERS REGISTRY (PFDR), THE AMERICAN UROGYNECOLOGIC SOCIETY'S (AUGS) NATIONAL PATIENT REGISTRY, IS A MULTI-CENTERED PROSPECTIVE COHORT STUDY OF PATIENTS UNDERGOING TREATMENT FOR PELVIC ORGAN PROLAPSE (POP) TO EVALUATE THE EFFECTIVENESS, QUALITY OF LIFE AND SAFETY ASSOCIATED WITH BOTH SURGICAL THERAPY (TRANSVAGINAL/TRANSABDOMINAL NATIVE TISSUE REPAIR, TRANSVAGINAL MESH REPAIR AND SACROCOLPOPEXY) AND NON-SURGICAL MANAGEMENT (PESSARY). THE PFDR IS DESIGNED TO COLLECT BOTH PROVIDER AND PATIENT REPORTED OUTCOMES THROUGH BROAD PARTICIPATION FROM SPECIALISTS AND GENERALISTS PERFORMING SURGERY FOR PROLAPSE. FORM 990, PART VI, SECTION A, LINE 3 THE SOCIETY ENTERED INTO AN AGREEMENT WITH SMITHBUCKLIN CORPORATION TO MANAGE ITS BUSINESS AFFAIRS AND TO WORK TOGETHER IN ACHIEVING THE GOALS AND OBJECTIVES OF THE SOCIETY. PURSUANT TO THAT CONTRACT, MICHELLE ZINNERT, EXECUTIVE DIRECTOR, IS PAID BY SMITHBUCKLIN FOR SERVICES PERFORMED IN HER CAPACITY AS EXECUTIVE DIRECTOR OF THE AMERICAN URO-GYNECOLOGIC SOCIETY. THE AMERICAN URO-GYNECOLOGIC SOCIETY HAS NO KNOWLEDGE OF THE COMPENSATION ARRANGEMENT BETWEEN MS. ZINNERT AND SMITHBUCKLIN CORPORATION. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FINAL DRAFT OF THE FORM 990 WAS PROVIDED TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE EXECUTIVE DIRECTOR ENSURES THAT CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE SIGNED ANNUALLY BY BOARD MEMBERS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST AND ALSO ON WWW.GUIDESTAR.ORG. FORM 990, PART XI, LINE 2C: THE ORGANIZATION HAS NOT CHANGED EITHER ITS AUDIT OVERSIGHT PROCESS OR ITS PROCESS FOR SELECTION OF AN INDEPENDENT ACCOUNTANT DURING THE YEAR. AMERICAN UROGYNECOLOGIC SOCIETY FOUNDATION 2025 M STREET NW WASHINGTON DC 20036 522323369 TO ADVANCE THE FIELD OF URO-GYNECOLOGY THROUGH PUBLIC EDUCATION & RESEARCH CA 501(C)(3) 7 N/A 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0