2021-06-14T13:16:00-07:00 2020-10-31 990 2019-11-01 561520520 AMERICAN BOARD OF PEDIATRICS FOUNDATION INC AMER 9199290461 111 SILVER CEDAR COURT CHAPEL HILL NC 27514 Ann Hazinski VP and CFO 9199290461 2021-06-14 2019 2022-09-23 18:48:47Z Ann E Hazinski 111 Silver Cedar Court Chapel Hill NC 27514 1962624 0 X X 1986 NC SEE SCHEDULE O 9 8 0 8 0 0 2009078 1866848 0 0 141185 95776 0 0 2150263 1962624 109655 121268 0 0 0 0 0 0 0 1421936 1042379 1531591 1163647 618672 798977 6694423 7444347 375103 361507 6319320 7082840 X SEE SCHEDULE O 0 0 279295 0 0 RESEARCH WORKFORCE SEE SCHEDULE O FOR FULL DESCRIPTION 178994 0 0 ROADMAP - SEE SCHEDULE O FOR FULL DESCRIPTION 124516 0 0 RESEARCH MOCA PEDS EVALUATION - SEE SCHEDULE O FOR FULL DESCRIPTION 510877 121268 0 Support for pediatric research, pediatric organizations, and pediatric meetings involving parents, mental health and residency training 510877 121268 0 1093682 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 27 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 835122 89367 ANN E HAZINSKI MBA CPA EX OFFICIO VP FINANCE AND CFO 3 51 X X 0 403365 98312 VICTORIA F NORWOOD MD CHAIR ELECT & CHAIR 0.50 3.50 X X 2520 9450 0 ANN E BURKE MD IMMEDIATE PAST CHAIR 0.5 2.5 X X 2800 9100 0 H STACY NICHOLSON SECRETARY-TREASURER & CHAIR-ELECT 0.75 2.75 X X 2520 7560 0 STACEY L LIHN DIRECTOR/PUBLIC MEMBER 0.50 0 X 4200 0 0 STEPHANIE D DAVIS MD SECRETARY-TREASURER 0 2.5 X X 0 2940 0 JOHN PATRICK T CO MD DIRECTOR 0.50 0 X 2800 0 0 WILLIAM E SMOYER MD DIRECTOR 0.50 0 X 2100 0 0 MARY FRAN HAZINSKI DIRECTOR/PUBLIC MEMBER 0.50 0 X 1820 0 0 ALEX R KEMPER MD DIRECTOR 0.50 0 X 0 0 0 ANNA R KUO MD CHAIR & IMMEDIATE PAST CHAIR 0 5 X X 0 0 0 KATHRYN A SABADOSA DIRECTOR/PUBLIC MEMBER 0.50 0 X 0 0 0 18760 1267537 187679 0 0 1 0 RESEARCH TRIANGLE INSTITUTE PO BOX 900002 RALEIGH NC 276759000 CONTRACTED SERVICES FOR ADMINISTRATION AND RESEARCH 121045 CHILDRENS HOSPITAL MEDICAL CENTER 3333 BURNET AVENUE CINCINNATI OH 45529 BEHAVIORAL MENTAL HEALTH 359079 LAURA E PETERSON PO BOX 990958 BOSTON MA 02199 CONSULTING SERVICES FOR ROADMAP DISSEMINATION PROJECT 113940 0 0 0 0 1823649 0 43199 0 1866848 0 95776 95776 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1962624 95776 0 0 X 111268 111268 10000 10000 0 0 0 0 4317 2350 1967 0 5860 5860 0 913057 898745 14312 0 2580 867 1713 0 45062 42100 2962 0 0 0 71368 28217 43151 0 Miscellaneous 135 135 0 0 1163647 1093682 69965 0 1035012 1788242 923242 818549 3893 0 4732276 4837556 6694423 7444347 375103 361507 0 0 375103 361507 X 6319320 7082840 0 0 6319320 7082840 6694423 7444347 798977 14543 0 0 -50000 0 X 0 1 X 1 0 X X 1 AMERICAN BOARD OF PEDIATRICS INC 231417504 10 1 13000 1093683 1 13000 1093683 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 $663,851 and allocated share of occupancy cost of $66,384 Schedule A, Part IV, Section A, Line 6 ABPF has provided grants to the following domestic 501(c)(3) organizations during the year: American Academy of Pediatrics $28,268 in support of its New Century Scholars Program; National Medical Association $10,000 for its Roland B Scott MD Memorial Symposium Educational Grant; National Academy of Science Engineering and Medicine $20,000 for a consensus study on Implementing High Quality Primary Care. 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 X 2707403 14543 730236 0 0 744779 1962624 0 0 0 1962624 1893883 730236 0 0 0 730236 1163647 0 0 0 1163647 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, 2020 and 2019. 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 Academic Pediatric Association 6728 Old McLean Village Drive McLean VA 22101 510202446 501(c)(3) 28268 0 FMV N/A Support of New Century Scholars Program National Medical Association 8403 Colesville Road Suite 820 Silver Spring MD 20910 536010805 501(c)(3) 10000 0 FMV N/A Roland B Scott M.D. Memorial Symposium Educational Grant National Academy of Science Engineering and Medicine 500 Fifth Street NW Washington DC 20001 530196932 501(c)(3) 20000 0 FMV N/A Support for a new consensus study on Implementing High Quality Primary Care. 4 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 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. 0 0 0 0 0 0 0 0 0 DAVID G NICHOLS MD MBA DIRECTOR, PRESIDENT AND CEO 0 733945 0 3155 0 98021 0 62076 0 27291 0 924488 0 ANN E HAZINSKI MBA CPA EX OFFICIO VP FINANCE AND CFO 0 371839 0 14095 0 17430 0 62076 0 36236 0 501676 0 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: Carol Carraccio Lentz, MD, VP Competency-Based Assessment Program $3,675 and David G Nichols, MD President $62,232 and Virginia Moyer Tucker MD, VP MOC and Quality $13,866. 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. Over the next fiscal year, the project team plans to (1) Continue to maintain a rigorous, high-quality data collection and management system of the census survey data and continue dissemination efforts of the ABP's certification and tracking data; (2) Continue to enhance the ABP's workforce efforts through linkages to other organizations with interests in this topic area via a Pediatric Workforce Network (PWN); (3) Analyze data from census survey modules; (4) Update and enhance data dashboards, including moving census survey data to dashboards. Metrics tracked for this work include (1) published papers and (2) google analytics for access to the ABP data dashboards. In 2020, there were two manuscripts published, one of which was assigned an Altmetric attention score of 10 by the journal indicating that it is in the top 25% of research outputs scored by Altmetric. Since publication in May 2020, it has also been mentioned by 15 tweeters with an upper bound of 49,834 followers and cited by 7 other publications. In 2020, the top viewed dashboards included a US map of subspecialists by state (439 unique pageviews) and a visualization of the yearly growth in pediatric subspecialty by demographics and program characteristics (417 unique pageviews). Form 990, Part III, Line 4b Roadmap - The ABP Foundation has provided funding since February 1, 2017 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, current network initiatives and other relevant organizational efforts; (3) Develop a change package 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. The project team is currently working on disseminating the Roadmap materials and conducting a series of pilot tests to inform iterative improvements. In 2020, there were 2,746 unique webpage views and 996 unique downloads of project resources. In addition, 9 pediatric training programs are participating in a learning collaborative to implement changes in their training and/or care at their institutions under the leadership of Cincinnati Children's James M Anderson Center for Health Systems Excellence. Form 990, Part III, Line 4c The American Board of Pediatrics (ABP) has committed to exploring alternatives to the Continuing Certification (CC) part 3 requirements for pediatric diplomates (i.e., pediatricians who are board certified) as well as for part 3 and part 4 requirements. Since January 2017, the ABP has been employing user panels and surveys to assess a longitudinal assessment program, termed Maintenance of Certification Assessment-Pediatrics or MOCA-Peds. The specific aims for this project include (1) Determine the usability and operationality (e.g., rates of enrollment and dropout, use of learning resources) of the MOCA-Peds system and IT platform for the general pediatrician through the first MOC cycle of those starting in 2019; (2) Explore critical questions related to modifications of the MOCA-Peds system for 15 pediatric subspecialties; (3) Disseminate findings to a range of stakeholders (e.g., pilot participants, diplomates, pediatric organizations, other medical and allied health professional boards, and the scientific community) and (4) Investigate other aspects of board certification and continuing certification through focus groups with an annually identified user panel that capitalizes on the diversity of pediatricians throughout the US. During 2020, the project team conducted an annual survey of participants in the operational MOCA-Peds program, created a link to an infographic about the MOCA-Peds program, and hosted multiple opportunities for user panel feedback and input on ABP activities. Form 990, Part VI, Section B, Line 11b The Controller prepares the form 990 which is then reviewed by the CFO. The return is also reviewed by outside tax counsel for compliance. Once completed, the CFO distributes the form 990 to the Board of Directors for their review and comment prior to filling the return with the IRS. 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 are removed 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, consulting fees for Research Workforce and Roadmap Programs AMERICAN BOARD OF PEDIATRICS INC 111 SILVER CEDAR COURT CHAPEL HILL NC 27514 231417504 PROMOTES CHILDREN 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 1768343 Cash Transfer AMERICAN BOARD OF PEDIATRICS INC m 663851 In kind allocation of salary and benefits AMERICAN BOARD OF PEDIATRICS INC n 66384 Allocated share of occupancy costs based on percentage of staff time AMERICAN BOARD OF PEDIATRICS INC p 29337 Cash receivables for expenses AMERICAN BOARD OF PEDIATRICS INC q 69014 Cash payment for expenses ADDITIONAL TIME WAS NEEDED TO FILE A COMPLETE AND ACCURATE RETURN