2022-08-04T14:16:05-07:00 2021-10-31 990 2020-11-01 561520520 AMERICAN BOARD OF PEDIATRICS FOUNDATION INC AMER 9199290461 111 SILVER CEDAR COURT CHAPEL HILL NC 27514 Ann Hazinski VP and CFO 9199290461 2022-08-04 1 11 1 AAL2 X 2020 2022-09-23 18:48:47Z Ann E Hazinski 111 Silver Cedar Court Chapel Hill NC 27514 728631 0 X X 1986 NC SEE SCHEDULE O 9 8 0 8 0 0 1866848 694561 0 0 95776 34070 0 0 1962624 728631 121268 253307 0 0 0 0 0 0 0 1042379 1215644 1163647 1468951 798977 -740320 7444347 6923680 361507 590840 7082840 6332840 X SEE SCHEDULE O 0 0 163966 0 0 RESEARCH WORKFORCE SEE SCHEDULE O FOR FULL DESCRIPTION 130119 0 0 SS WORKFORCE MODELING - SEE SCHEDULE O FOR FULL DESCRIPTION 340685 0 0 ROADMAP - SEE SCHEDULE O FOR FULL DESCRIPTION 748715 253307 0 Support for pediatric research, pediatric organizations, and pediatric meetings involving parents, mental health and residency training 748715 253307 0 1383485 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X ANN E HAZINSKI MBA CPA CGMA CFO 9199290461 111 SILVER CEDAR COURT CHAPEL HILL NC 27514 DAVID G NICHOLS MD MBA DIRECTOR, PRESIDENT AND CEO 1 59 X X 0 924795 115512 ANN E HAZINSKI MBA CPA EX OFFICIO VP FINANCE AND CFO 3 51 X X 0 418715 125231 VICTORIA F NORWOOD MD CHAIR & IMMEDIATE PAST CHAIR 0.5 3.5 X X 1890 15120 0 H STACY NICHOLSON CHAIR-ELECT & CHAIR 0.5 5 X X 1260 5040 0 STEPHANIE D DAVIS MD SECRETARY-TREASURER & CHAIR-ELECT 0.5 2.75 X X 1400 3500 0 DeWAYNE M PURSLEY SECRETARY-TREASURER 0.5 2 X 0 4200 0 ALEX R KEMPER MD DIRECTOR 0.5 0 X 1400 0 0 MARY FRAN HAZINSKI DIRECTOR/PUBLIC MEMBER 0.5 0 X 1260 0 0 JOHN PATRICK T CO MD DIRECTOR 0.5 0 X 1120 0 0 ANNA R KUO MD IMMEDIATE PAST CHAIR 0 5 X X 0 0 0 KATHRYN A SABADOSA DIRECTOR/PUBLIC MEMBER 0.5 0 X 0 0 0 MARIA T BRITTO DIRECTOR 0.5 0 X 0 0 0 JONATHAN WEBB DIRECTOR/PUBLIC MEMBER 0.5 0 X 0 0 0 8330 1371370 240743 0 0 1 0 RESEARCH TRIANGLE INSTITUTE PO BOX 900002 RALEIGH NC 276759000 CONTRACTED SERVICES FOR ADMINISTRATION AND RESEARCH 125409 CHILDRENS HOSPITAL MEDICAL CENTER 3333 BURNET AVENUE CINCINNATI OH 45529 BEHAVIORAL MENTAL HEALTH 480116 LAURA E PETERSON PO BOX 990958 BOSTON MA 02199 CONSULTING SERVICES FOR ROADMAP DISSEMINATION PROJECT 102280 The LUNDQUIST INSTITUTE 1124 W Carson Street Bldg Torrance CA 90502 Utilization of EPAs in the Pediatric Subspecialty and Barriers to Their Use 166396 UNIVERSITY OF NC AT CHAPEL HILL 216 Lenoir Dr Chapel Hill NC 27599 Contracted service to estimate the future supply of pediatric subspecialist 215932 5 0 0 0 659561 0 35000 0 694561 0 34070 34070 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 728631 34070 0 0 X 243307 243307 10000 10000 3581 3581 11232 11232 1102530 1098379 4151 3688 14 3674 58117 58117 34746 31785 2961 Dues and Subscriptions 1750 0 1750 1468951 1383485 85466 0 1788242 1453679 818549 608777 0 0 4837556 4861224 7444347 6923680 361507 590840 0 0 361507 590840 X 7082840 6332840 0 0 7082840 6332840 7444347 6923680 -740320 -9680 0 0 0 0 X 0 1 X 1 0 X X 1 AMERICAN BOARD OF PEDIATRICS INC 231417504 10 1 13014 1383485 1 13014 1383485 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 Schedule A, Part I, Line 12g(i) The American Board of Pediatrics provides certain support such as consulting services, salaries meeting expenses and other related expenses for strategic initiatives for the benefit of the ABPF. In-kind support includes allocated personnel costs of $700,778 and allocated share of occupancy cost of $70,076 Schedule A, Part IV, Section A, Line 6 ABPF provides support, in the form of grants, to other domestic 501(c)(3) organizations. These grants are for the benefit of and further the exempt purposes of the ABP. The following grants were provided during the year: Association of Medical School Pediatric Department Chairs $20,700 in support of the Frontiers in Science Program; National Academy of Science Engineering and Medicine $50,000 in support of the National Academies' Forum for Children's Well-Being; Family Voices $7,500 in support of the extraordinary achievements of families and professionals partnering to improve health care for all children; Academic Pediatric Society $30,107 in support of the New Century Scholars Program; American Pediatric Society $ 130,500 in support to recognize pediatricians who demonstrate excellence in health equity through quality improvement, research, practice, or advocacy; Association of Test Publishers $ 1,500 in support of graduate student research; American Academy of Pediatrics $3,000 in support of the Stockman Lectureship. The Stockman Lectureship is an award given in recognition of Dr. James A Stockman and his contributions to Pediatrics, including his years of service to the ABP. Recipients of this award are invited to speak on a topic of their choice. Since 2016, the ABP and AAP have prioritized parents, family members, and young adult patients as speakers to share patient and family members' perspectives about pediatric health care needs, access, experience, and delivery. Paul V Miles Quality Improvement Award - This award was created to honor the passion for improving healthcare for children that Dr. Paul V. Miles has exhibited throughout his career, including his years of service with the ABP. The award is bestowed on individuals who have dedicated themselves to quality improvement and demonstrated accomplishments leading to better healthcare for children. The amount of this award is $10,000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 X 1489805 -9680 770854 0 0 761174 728631 0 0 0 728631 2239805 770854 0 0 0 770854 1468951 0 0 0 1468951 Schedule D, Part X, Line 2 The American Board of Pediatrics Foundation (ABPF) recognizes the tax benefit from a tax position only if it is more likely than not the tax position will be sustained on examination by tax authorities based on the technical merits of the position. The ABPF has analyzed its tax positions for filings with the Internal Revenue Service. The ABPF believes that its income tax filing positions will be sustained upon examination and does not anticipate any adjustments that would result in a material adverse effect on the ABPF's financial condition, results of operations, or cash flows. Accordingly, the ABPF has not recorded any tax assets or liabilities, or related accruals for interest and penalties for uncertain tax positions for the years ended October 31, 2021 and 2020. Schedule D, Part XI, Line 4b Interest and dividend income that is shown as non-operating revenue on the audited Statement of Activities and Changes in Net Assets 1 Association of Medical School Pediatric Department Chairs 6728 Old McLean Village Drive Mclean VA 22101 166098016 501(c)(3) 20700 0 FMV Support for the Frontiers in Science Program National Academy of Science Engineering and Medicine 500 Fifth Street NW Washington DC 20001 530196932 501(c)(3) 50000 0 FMV Support for the National Academies' Forum for Children's Well-Being Family Voices 110 Hartwell Ave Lexington MA 02421 850430800 501(c)(3) 7500 0 FMV Awards support for the extraordinary achievements of families and professionals partnering to improve health care for all children. Academic Pediatric Association 6728 Old McLean Village Drive Mclean VA 22101 510202446 501(c)(3) 30107 0 FMV Support of the New Century Scholars Program American Pediatric Society 9303 New Trails Drive The Woodlands TX 77318 166078165 501(c)(3) 130500 0 FMV Support to recognize pediatricians who demonstrate excellence in health equity through quality improvement, research, practice or advocacy. 5 0 Paul V Miles Quality Improvement Award 1 10000 0 FMV Schedule I, Part I, Line 2 ABP Foundation personnel have meetings with grantees to gain feedback on how grant funds have been spent. In addition, grantees prepare financial reports as well as an annual report summarizing outcomes. These annual reports are reviewed by the board of directors and ABP Foundation personnel. 0 1 0 0 0 0 0 0 0 DAVID G NICHOLS MD MBA DIRECTOR, PRESIDENT AND CEO 0 769541 0 0 0 155254 0 87454 0 28058 0 1040307 0 0 ANN E HAZINSKI MBA CPA EX OFFICIO VP FINANCE AND CFO 0 391826 0 0 0 26889 0 87454 0 37777 0 543946 0 Schedule J, Part I, Line 4 Certain members of senior management receive as part of their compensation a taxable supplemental non qualified retirement plan. Benefits provided in the current tax year were as follows: David G Nichols MD, President & CEO $100,766; Suzanne K Woods MD, Exec VP Credentialing and Initial Certification $1,771. Form 990, Part I, Line 1 The American Board of Pediatrics (ABP) Foundation undertakes strategic initiatives on behalf of the American Board of Pediatrics to advance the science, education, study, and practice of pediatrics. These initiatives are intended to support research on contemporary pediatric issues, the dialogue among health care leaders to improve the quality of physician training and pediatric care, and programs that will improve the practice of pediatrics. To achieve its mission, the ABP Foundation collaborates with other healthcare organizations, with the ultimate goal to improve quality of health care during infancy, childhood, adolescence, and the transition into adulthood. Form 990, Part III, Line 1 The American Board of Pediatrics (ABP) Foundation supports the mission of the ABP to ensure excellence in the education of pediatricians and the delivery of pediatric care. The ABP Foundation achieves its goal by pursuing rigorous research, convening collaborators in health care, developing and disseminating collective expertise, and promoting innovation, ultimately fostering the health and well-being of children and families. Form 990, Part III, Line 4a Research Workforce - For more than two decades, the ABP has disseminated its workforce data about pediatric physicians with the larger medical and health services community. Over the years, this effort has evolved to incorporate three types of data: (1) certification data, (2) tracking data provided to the ABP from pediatric residency and subspecialty training programs; and (3) census survey information collected across the entire span of a pediatrician's career, from training and initial certification through Continuing Certification (CC). Tracking the pediatric physician workforce is essential for understanding its makeup, numbers, distribution, and practice patterns. This effort has provided valuable information to pediatricians, pediatric residency and subspecialty training program directors, hospital administrators, policymakers, researchers, and others interested in ensuring that we have the skilled workforce necessary to meet the health care needs of infants, children, adolescents, young adults, and their families. The overarching goal of this project is to utilize the ABP's reliable and unique data as a key resource to inform ABP operations and national workforce policy and planning discussions. We intend to achieve this goal by improving the quality and dissemination of the ABP's workforce related data, thereby enhancing its usefulness internally and externally. This past fiscal year, the team continued upgrades and updates to existing ABP website dashboards and PDFs, collaborated with the American Academy of Pediatrics (AAP) to produce state-by-state one-page infographics and a dashboard related to distance to subspecialty care, continued to host the Pediatric Workforce Network and to collaborate with the Association of Medical School Pediatric Department Chairs (AMSPDC) Workforce Initiative (including serving as a lead on one of the four domains), completed manuscripts, and continued with survey module analyses. A sample of metrics tracked for this work include published papers and Google analytics for access to the ABP data dashboards. In 2021, there were two manuscripts published and the top two viewed dashboards included a US map of subspecialists by state (1359 unique pageviews) and a visualization of the results of the continuing certification reenrollment surveys from 2018 to 2020 (898 unique pageviews). Form 990, Part III, Line 4b SS Workforce Modeling - This project intends to develop a workforce projection model that estimates the future supply of pediatric subspecialists in the United States and regions of the US from 2018-2040. The model will contain "what if" scenarios that allow users to simulate the effects of changes in retirement, graduate medical education, and other factors that influence the future supply and distribution of the workforce. The model will serve as the initial step in the creation of a supply and demand analysis that will estimate the degree to which the number and distribution of pediatric subspecialists meets the clinical needs of the US pediatric population nationally and regionally. This past fiscal year, the project team continued to finalize decision rules for data inputs to the model, built the baseline model, developed the initial structure of the visualization, and undertook extensive stakeholder engagement. The project had many important accomplishments. The team was able to clean and analyze all data necessary for the baseline model. The team also met with critical stakeholders to review the baseline model and develop an initial approach to the inclusion of future scenarios in the model. As a small subarea of work, the team also conducted analyses examining diversity, equity, and inclusion among pediatric trainees and the relationship to debt and career paths. Last, the team built a MySQL database and Node.js backend to house model data for the visualization and launched on a demo website. Form 990, Part III, Line 4c Roadmap - The ABP Foundation has provided funding since February 1, 2017, to Cincinnati Children's Hospital Medical Center (CCHMC) to "Develop a Roadmap to Support the Emotional and Mental Health Needs of Patients with Chronic Illness and their Families". Parents of children with chronic illness and healthcare professionals partnered together to: (1) Use a systematic process to understand patient and family needs for emotional support and mental health, with an initial focus on patients with chronic illness and their families; (2) Identify current strategies for addressing emotional support and mental health of patients with chronic illness and their families from literature review, pediatric chronic disease learning health network initiatives, facilitated by the Anderson Center at CCHMC and other relevant organizational efforts; (3) Develop education material and quality improvement resources that can be used to raise awareness and provide specific strategies for pediatric subspecialists to identify and address patient and family needs for emotional and mental health support; (4) Provide metrics for networks and organizations to use that will assess and monitor efforts to improve emotional support and mental health for patients and families; (5) Facilitate the adoption of individual network initiatives that address the emotional support and mental health needs of patients and families; and (6) Develop a cross-network initiative to accelerate the improvement of emotional support and mental health for patients and families. This past fiscal year, the project team completed a 16-month Learning Collaborative with 11 subspecialty teams from 9 children's hospitals to test and revise the Roadmap Change Package, identify key steps for implementing emotional support for patients and families, develop novel resources, and consider the impact of implicit bias and racism on living with chronic conditions. The team also conducted a virtual 2-day learning session, identified and developed "use cases" (2-3 examples of teams that successfully test and implemented the change strategies), planned and developed an initial draft of a Maintenance of Certification Part 4 activity based on the learnings from the pilot collaborative, planned for Children's Hospital Association webinar series, began developing a communication plan for the dissemination and spread of Roadmap, summarized current financial strategies for addressing emotional and behavioral health (by identifying current billing practices, use cases, and resources), and presented at numerous organizational meetings and workshops. The team also successfully applied for a small supplementary grant from a private family foundation. A sample of metrics tracked for the work this year include results from the learning sessions survey and Google analytics for the Roadmap webpage. From the learning sessions survey, 81% strongly agreed that the content provided would play a role in improving the provision of emotional support to children with chronic conditions and their families, 85.7% strongly agreed they learned a new knowledge or skills from the learning sessions, and 100% agreed or strongly agreed that the learning sessions met their expectations. The Roadmap webpages had a total of 3,102 unique pages, which increased from last fiscal year with 2,746 unique page views. Form 990, Part VI, Section B, Line 11b The Assistant Controller prepares the form 990. Both the Controller and CFO perform a detailed review of the completed return. The return is then reviewed by outside tax counsel for compliance. After this review and prior to filing, a complete copy of the Form 990 is emailed to the Officers of the Board and the Finance Committee. The Officers and the Finance Committee are asked to review the form and to forward any comments, questions, or concerns to the CFO so that they can be addressed prior to filing the return. Both the Finance Committee and full Board of Directors are e-mailed a final filing copy once the return is submitted. Form 990, Part VI, Section B, Line 12c The American Board of Pediatrics Foundation follows the conflict of interest policies (COI) of the American Board of Pediatrics. The COI policy covers Board appointees, committee members, officers, and key employees who must review the COI policy annually and disclose any potential conflicts of interest via a signed form. The conflict of interest committee reviews and monitors all conflict of interest issues. Conflicts of appointees and employees attending meetings are disclosed in the meeting agenda materials and those with conflicts do not participate in the voting on any issues where they may have a conflict of interest. The ABP Foundation also maintains a conflict of interest policy covering employees, who are required to disclose any or actual perceived conflicts of interest on an annual basis via signed agreement. These statements are reviewed by Vice President of Human Resources and the President. Employees and appointees are recused from decision making issues where a conflict may exist. Form 990, Part VI, Section C, Line 19 The ABP Foundation follows the policies of the American Board of Pediatrics. These documents were made available upon written request as deemed appropriate. Form 990, Part IX, Line 11g Includes professional fees paid to Research Triangle Institute for research and evaluation of Maintenance of Certification Assessment for Pediatrics (MOCA PEDS) program, professional fees paid to UNC Chapel Hill for the SS Workforce Modelling Program, and consulting fees for Research Workforce and Roadmap Programs. AMERICAN BOARD OF PEDIATRICS INC 111 SILVER CEDAR COURT CHAPEL HILL NC 27514 231417504 PROMOTES CHILDREN'S HEALTH DE 501(C)3 10 ABP 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 AMERICAN BOARD OF PEDIATRICS INC c 603559 Cash Transfer AMERICAN BOARD OF PEDIATRICS INC m 700777 In-kind allocation of salary and benefits. AMERICAN BOARD OF PEDIATRICS INC n 70077 Allocated share of occupancy cost based on percentage of staff time. AMERICAN BOARD OF PEDIATRICS INC p 44957 Cash receivable for expenses AMERICAN BOARD OF PEDIATRICS INC q 84501 Cash payment for expenses. Additional Time is needed to gather the necessary information to file a complete and accurate return.