2022-03-16T16:15:56-05:00 2021-09-30 582676261 Rogers & Company PLLC 8300 Boone Boulevard Suite 600 Vienna VA 22182 990 2020-10-01 042917754 International Board of Heart Rhythm Examiners Inc INTE 2024643400 1325 G Street NW No 400 Washington DC 200053121 Tracy Lofty Chief Executive Officer 2024643400 2022-03-16 1 Tracy Lofty XXX-XX-XXXX Lori A Collingsworth P00639819 7038930300 2022-03-14 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z Patricia Blake 1325 G Street NW No 400 Washington DC 200053121 1607154 0 X www.ibhre.org X 1986 MA To design and administer examinations to measure competency in cardiac pacing and electrophysiology. 13 13 2 131 0 0 0 0 1218296 1384784 69255 81235 1566 1774 1289117 1467793 3400 2000 0 0 367262 405919 0 0 0 739928 847998 1110590 1255917 178527 211876 3385275 3825447 381769 243972 3003506 3581475 To design and administer examinations to measure competency in cardiac pacing and electrophysiology. 0 0 Design and administer examinations in cardiac pacing and electrophysiology. 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 2 1 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MA X Tracy Lofty Chief Executive Office 2024643400 1325 G Street NW No 400 Washington DC 200053121 Charles Love MD FACC FHRS FAHA, CCDS- President 4.00 0.00 X X 1401 0 0 Edward V Platia MD FHRS CCDS, CEPS-A- VP and Treasurer 2.00 0.00 X X 750 0 0 Christine Chiu-Man MSC FHRS CCDS, CEPS, Secretary 3.00 0.00 X X 500 0 0 Fred M Kusumoto MD FHRS Ex-Officio/HRS President 2.00 5.00 X 0 0 0 Jay N Gross MD CCDS Member 2.00 0.00 X 0 0 0 Marleen E Irwin FHRS RCRT CCDS- Member 2.00 0.00 X 250 0 0 Toshiyuki Ishikawa MD FHRS Member 2.00 0.00 X 0 0 0 Aparna Jaswal MD DNB FACC FHRS, FESC, CCDS- Member 2.00 0.00 X 0 0 0 Elsie M Kelly Public Member 2.00 0.00 X 0 0 0 Amy S Leiserowitz RN FHRS CCDS- Member 2.00 0.00 X 0 0 0 Neil F Strathmore MBBS FHRS CCDS- Member 2.00 0.00 X 0 0 0 George F Van Hare MD FHRS CEPS- Member 2.00 0.00 X 715 0 0 Esther Weiss MSN APN CNS FHRS, CEPS- Member 2.00 0.00 X 500 0 0 Tracy Lofty IBHRE Chief Executive Officer 40.00 0.00 X 183318 0 32979 Patricia Blake HRS Chief Executive Officer 0.00 40.00 X 0 560684 163193 Eric Booth HRS Chief Financial Officer 0.00 40.00 X 0 232348 50006 James Youngblood HRS Former CEO through May 2019 0.00 0.00 X 0 300606 0 187434 1093638 246178 1 1 1 0 National Board of Medical Examiners PO Box 48006 Newark NJ 07101 Exam Development & Administration 224975 1 Exam fees 900099 1384784 1384784 1384784 57561 57561 1774 1774 163035 139361 23674 23674 23674 1467793 1384784 0 83009 X 1000 1000 228910 127928 24458 24623 43426 26245 18066 7975 539201 124 73061 51703 41740 3585 5606 67 26873 Training & development 3915 Dues & subscriptions 2987 Temporary labor 2368 Miscellaneous expenses 1056 1255917 405 15562 3105 3725 74790 19944 69804 54846 2857904 3751314 454057 0 3385275 3825447 381769 68941 0 175031 381769 243972 X 3003506 3581475 3003506 3581475 3385275 3825447 211876 366093 0 X X 0 1 X 1 0 74790 19944 54846 54846 Related party payable 175031 175031 X 1825911 366093 366093 1459818 7975 7975 1467793 1247942 0 1247942 7975 7975 1255917 Part X, Line 2: Management evaluated the Organization's tax positions and concluded that the Organization's financial statements do not include any uncertain tax positions. 0 1 0 Patricia Blake HRS Chief Executive Officer 0 560684 0 0 0 0 0 116657 0 46536 0 723877 0 0 James Youngblood HRS Former CEO through May 2019 0 0 0 0 0 300606 0 0 0 0 0 300606 0 300606 Eric Booth HRS Chief Financial Officer 0 212398 0 19950 0 0 0 12511 0 37495 0 282354 0 0 Tracy Lofty IBHRE Chief Executive Officer 178003 0 5145 0 170 0 20369 0 12610 0 216297 0 0 0 Part I, Line 4b Line 4b: During calendar year 2020, the Society contributed $71,842.48 to Pat Blake's nonqualified section 457(f) plan. Part II, Column (F) James Youngblood received a lump sum distribution of $ 300,605.54 from his non- qualified 457(b) plan. He received this payout directly and it is included in his 2020 W2. This amount has also been reported in Schedule J, Part II, Column B (iii). Form 990, Part VI, Section A, line 7a New Directors are determined, as necessary, through a slate of recommended candidates assembled by the Board of Directors. The number of candidates shall equal the number of available seats. The Board of Directors' approved candidate appointment is submitted to the HRS Board of Trustees for approval by a majority vote at the time of its annual meeting. However, this HRS Board review and approval of the IBHRE Board appointment does not correlate to any element of HRS' control over the IBHRE organization. Form 990, Part VI, Section B, line 11b The Form 990 is prepared by an independent accounting firm, and a draft is submitted to the HRS financial team for review. Following the HRS financial team review of tax forms, the Form 990 and other forms as necessary are reviewed by IBHRE's CEO. IBHRE's CEO informs the HRS financial team of the necessary revisions. After revisions are made by the HRS financial team, the forms are forwarded to the IBHRE Board of Directors by the IBHRE CEO prior to filing with the IRS. Form 990, Part VI, Section B, line 12c The Board President reviews all Board and Committee member disclosure forms. Before the start of every meeting, a statement regarding disclosures and conflict of interest is read by the Board President. Form 990, Part VI, Section B, line 15a Compensation of key (and non-key) employees is reviewed as part of the overall budget approval process by the Heart Rhythm Society Finance Committee and Board of Trustees. The salary of each staff position is reviewed and determined using internally obtained survey data. Form 990, Part VI, Section C, line 19 The Organization's governing documents and conflict of interest policy are publicly available on the Organization's website. Audited financial statements are available upon request to individuals and organizations based on business need. Form 990, Part IX, line 11g Content Development 504,911. Honoraria Fees 26,383. Royalty Fees 3,474. Payroll Processing 1,515. Other Labor 1,375. Consulting Services 1,076. Security 403. Placement Fees 44. Evaluation Processing 20. Form 990, Part XII, Line 2C: No change from the prior year. Heart Rhythm Society Inc 1325 G Street NW Suite 400 Washington DC 200053121 042694458 To enhance the prevention and treatment of cardiac rhythm disorders. MA 501(c)(3) Line 10 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0