2021-11-11T19:16:23-06:00 2020-12-31 481243147 CHRISTOPHER J CLAIR CPA PA 6409 GLADSTONE DRIVE SHAWNEE KS 66218 990 2020-01-01 237035351 SOCIETY FOR ADOLESCENT HEALTH AND MEDICINE SOCI 4042523663 111 WEST JACKSON BLVD SUITE 1412 CHICAGO IL 60604 UNYIME UDOWANA GROUP CONTROLLER 4042523663 2021-11-11 1 UNYIME UDOWANA 999009999 CHRISTOPHER J CLAIR P00218187 9136310336 2021-11-08 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z JESSICA A KAHN MD MPH 111 WEST JACKSON BLVD SUITE 1412 CHICAGO IL 60604 1173100 0 X www.adolescenthealth.org X 1968 CA THE SOCIETY FOR ADOLESCENT HEALTH & MEDICINE IS A MULTIDISCIPLINARY ORGANIZATION COMMITTED TO IMPROVING THE PHYSICAL & PSYCHOSOCIAL HEALTH AND WELL-BEING OF ALL ADOLESCENTS THROUGH ADVOCACY, CLINICAL CARE, HEALTH PROMOTION, HEALTH SERVICE DELIVER, PROFESSIONAL DEVELOPMENT, & RESEARCH. 14 14 0 250 0 0 194677 68771 1579550 867944 35124 27513 32930 24999 1842281 989227 8499 8086 0 0 0 0 0 0 0 1687839 1230208 1696338 1238294 145943 -249067 2238832 1982830 380155 358765 1858677 1624065 X SEE MISSION STATEMENT ON FORM 990 PAGE 1, PART 1, LINE 1 AND CONTINUED ON SCHEDULE O 0 0 710913 617678 JOURNAL OF ADOLESCENT HEALTH (JAH JOURNAL) -- THE SOCIETY'S PUBLICATION THAT KEEPS SUBSCRIBERS UP TO DATE ON LATEST ADOLESCENT MEDICINE NEWS AND WHAT IS GOING ON IN THE FIELD. 204007 37686 ANNUAL MEETING -- ANNUAL EVENT HELD TO DISCUSS LATEST ADOLESCENT HEALTH TOPICS AND EXCHANGE INFORMATION RELEVANT TO THE FIELD. THE IN-PERSON ANNUAL MEETING FOR 2020 WAS CANCELLED DUE TO THE COVID-19 PANDEMIC. 12643 237345 MEMBERSHIP AND ADMINISTRATION -- DAY-TO-DAY OPERATION OF THE ORGANIZATION AND DUES. 17086 8086 234 RESEARCH INITIATIVES -- SOLICIT, EVALUATE, AWARD, AND MONITOR TEN INNOVATIVE LOCAL PUBLIC HEALTH DEMONSTRATION PROJECTS IN ORDER TO BETTER UNDERSTAND AND ADDRESS THE BARRIERS TO VACCINATION IN THE ADOLESCENT POPULATION, WITH THE ULTIMATE OBJECTIVE OF IMPROVING IMMUNIZATION RATES IN THIS POPULATION.THE ORGANIZATION UTILIZES AND EXPENDS VARIOUS GRANT FUNDS TO ASSIST IN ACHIEVING ITS MISSION AND GOALS TO IMPROVE THE PHYSICAL AND PSYCHOSOCIAL HEALTH AND WELL-BEING OF ALL ADOLESCENTS THROUGH ADVOCACY, CLINICAL CARE, HEALTH PROMOTION, HEALTH SERVICE DELIVER, PROFESSIONAL DEVELOPMENT AND RESEARCH. 17086 8086 234 944649 1 0 0 0 0 0 0 0 0 1 0 1 0 1 1 1 1 0 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 0 0 0 1 11 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 1 0 0 1 1 0 1 1 0 1 1 1 1 1 1 1 1 0 0 0 CA IL X KELLEN COMPANY 4042523663 3200 WINDY HILL ROAD SE STE 600 W ATLANTA GA 30339 X JESSICA A KAHN MD MPH FSAHM PRESIDENT 2.00 X X 0 0 0 MARIA TRENT MD MPH FSAHM IMMEDIATE PAST PRESIDENT 2.00 X X 0 0 0 TANYA L KOWALCZYK MULLINS MD MS SECRETARY-TREASURER 2.00 X X 0 0 0 TAMERA COYNE-BEASLEY MD MPH PRESIDENT'S COUNCIL REP 2.00 X 0 0 0 DAVID L BELL MD MPH PRESIDENT-ELECT 1.00 X X 0 0 0 DIANE M STRAUB MD MPH MEMBER-AT-LARGE 1.00 X 0 0 0 MANUEL ANGEL OSCOS-SANCHEZ MD MEMBER-AT-LARGE 1.00 X 0 0 0 LAURA RICHARDSON MD MPH FSAHM MEMBER-AT-LARGE 1.00 X 0 0 0 RYAN H PASTERNAK MD MPH MEMBER-AT-LARGE 1.00 X 0 0 0 RENEE SIEVING PHD RN FSAHM MEMBER-AT-LARGE 1.00 X 0 0 0 GORDON DUVALL REGIONAL CHAPTER REP 1.00 X 0 0 0 KAREN SOREN MD FSAHM MEMBER-AT-LARGE 1.00 X 0 0 0 TORNIA JOVANNA SAMARI WYLLIE TRAINEE REP 1.00 X 0 0 0 NURAY KANBUR MD INTERNATIONAL CHAPTER REP 1.00 X 0 0 0 RYAN NORTON EXECUTIVE DIRECTOR 10.00 X 0 0 0 0 0 0 0 0 0 0 KELLEN COMPANY 3200 WINDY HILL ROAD SE STE 600 W ATLANTA GA 30339 MANAGEMENT SERVICES 422835 UC REGENTS 3333 CALIFORNIA ST STE 245 SAN FRANCISCO CA 94118 EDITORIAL SERVICES 333360 CHILDRENS HOSPITAL OF PHILADELPHIA 3401 CIVIC CENTER BLVD PHILADELPHIA PA 19104 EDITORIAL SERVICES 143257 3 68771 68771 JOURNAL 511120 617678 617678 MEMBERSHIP DUES 611710 211680 211680 ANNUAL MEETING 611430 37686 37686 CHAPTER DUES 611710 750 750 FELLOWS INITIATION FEE 611430 150 150 867944 29117 29117 182269 183873 -1604 -1604 -1604 WEBSITE 900099 24915 24915 MISCELLANEOUS 900099 84 84 24999 989227 892943 0 27513 X 8086 8086 422835 193221 229614 9800 9800 22749 6999 15750 11688 11688 12643 12643 96032 96032 2550 2550 JOURNAL 614303 614303 BANK/CREDIT CARD FEES 24258 11365 12893 AWARDS 4294 4294 MEMBERSHIP 4258 4258 4798 2000 2798 1238294 944649 293645 0 596935 258819 8848 24609 125140 1372629 1414598 235811 184273 2238832 1982830 81055 107233 289315 232347 9785 19185 380155 358765 X 1480436 1246302 378241 377763 1858677 1624065 2238832 1982830 -249067 14455 0 X X 0 1 X 1 0 X 454146 439607 345562 437631 281201 1958147 1086624 1036031 1188156 1336596 655514 5302921 1540770 1475638 1533718 1774227 936715 7261068 0 0 0 7261068 23381 30183 36248 35124 27513 152449 23381 30183 36248 35124 27513 152449 23001 21880 16238 32930 24999 119048 1587152 1527701 1586204 1842281 989227 7532565 0.96400 0.96900 0.02020 0.01740 X 82823 305 822 1631 82319 83188 445 826 1636 82823 82099 270 819 83188 82688 200 820 1609 82099 83796 200 300 1608 82688 0.97200 0.02800 0 0 0 MORGAN STANLEY 1414598 F 1414598 ROYALTY RECEIVABLE 184273 184273 DUE TO CHAPTERS 19185 19185 X 1002932 14455 14455 988477 750 750 989227 1238294 0 1238294 0 1238294 Part V, Line 4: EARNINGS ON THE ENDOWMENT FUND ARE AVAILABLE TO PROVIDE CAREER DEVELOPMENT AND DIABETES RESEARCH AWARDS. Part X, Line 2: THE SOCIETY HAS NO MATERIAL UNCERTAIN TAX POSITIONS TO BE ACCOUNTED FOR IN THE FINANCIAL STATEMENTS UNDER ASC TOPIC 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. Part XI, Line 4b - Other Adjustments: CHAPTER DUES 1 GLBT RESEARCH FUND 1 3131 CAREER DEVELOPMENT AND DIABETES RESEARCH 1 1631 TRAVEL SCHOLARSHIPS 7 1762 LAWRENCE S NEINSTEIN AWARD 1 1131 VAUGHN RICKERT AWARD 1 431 Part I, Line 2: THE APPLICANTS ARE REVIEWED WHEN THEY APPLY BY SPECIFIED COMMITTEES TO ENSURE THEY MEET THE CRITERIA SET FORTH. THE RECIPIENTS MUST ATTEND THE ANNUAL MEETING TO RECEIVE THE AWARDED FUNDS. Form 990, Part VI, Section A, line 3 THE BOARD OF DIRECTORS HAS DELEGATED CONTROL OF OVERALL MANAGEMENT DUTIES TO THE KELLEN COMPANY, INCLUDING PROVIDING HEADQUARTERS FACILITIES, STAFF AND MANAGEMENT AND ADMINISTRATIVE SERVICES. Form 990, Part VI, Section A, line 6 MEMBERSHIP IS OPEN TO ALL HEALTH PROFESSIONALS THROUGHOUT THE WORLD WHO ARE INVOLVED IN SERVICE, TEACHING, OR RESEARCH CONCERNED WITH THE HEALTH AND WELL-BEING OF ADOLESCENTS. THERE ARE DIFFERENT TYPES OF MEMBERSHIP: CHARTER MEMBER IS A QUALIFIED PHYSICIAN DEVOTING A SIGNIFICANT PORTION OF HIS/HER TIME TO THE MEDICAL CARE OF ADOLESCENTS. CHARTER MEMBERS MAY VOTE. REGULAR MEMBERS HAVE THE RIGHT TO HOLD OFFICE AND TO VOTE AT THE ANNUAL BUSINESS MEETING. HONORARY MEMBERSHIP IS BESTOWED UPON AN INDIVIDUAL WHO HAS MADE OUTSTANDING CONTRIBUTIONS TO EITHER CLINICAL, TEACHING OR RESEARCH ASPECTS OF THE ADOLESCENT HEALTH. APPROVAL MUST BE MADE BY THE MAJORITY VOTE OF THE BOARD OF DIRECTORS. EMERITUS MEMBERSHIP IS GRANTED BY ACTION OF THE BOARD OF DIRECTORS. THEY ARE UNABLE TO VOTE AND ARE RELEASED FROM PAYING DUES. MEMBERSHIP FOR PROFESSIONALS-IN-TRAINING MAY APPLY FOR MEMBERSHIP FOR THEIR PERIOD OF THEIR TRAINING. FELLOW STATUS MUST BE RECEIVED AND IS PROCESSED BY A CREDENTIALS REVIEW COMMITTEE. Form 990, Part VI, Section A, line 7a THE NOMINATIONS COMMITTEE PUTS TOGETHER THE SLATE OF NOMINEES. ALL MEMBERS ELIGIBLE TO VOTE ARE PROVIDED WITH A PRINTED OR ELECTRONIC BALLOT PRIOR TO THE 30 DAYS ALLOCATED AS THE MONTH FOR SAHM ELECTIONS. Form 990, Part VI, Section B, line 11b THE FORM 990 IS SENT OUT IN DRAFT FORM TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS FOR APPROVAL. Form 990, Part VI, Section B, line 12c CONFLICT OF INTEREST POLICY IS REVIEWED ON AN ANNUAL BASIS BY THE BOARD OF DIRECTORS AND MEMBERS ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST ON A WRITTEN CONFLICT OF INTEREST STATEMENT. Form 990, Part VI, Section C, line 19 GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST TO THE SOCIETY FOR ADOLESCENT HEALTH AND MEDICINE HEADQUARTERS. Form 990, Part IX, line 11g ADVOCACY FEES: Program service expenses 6999. Management and general expenses 0. Fundraising expenses 0. Total expenses 6999. CONSULTING SERVICES: Program service expenses 0. Management and general expenses 15750. Fundraising expenses 0. Total expenses 15750. Form 990, Part IX, line 24e BOARD/COMMITTEE EXPENSES: Program service expenses 0. Management and general expenses 2623. Fundraising expenses 0. Total expenses 2623. MERCK/DURANT RESTRICTED EXPENSES: Program service expenses 1262. Management and general expenses 0. Fundraising expenses 0. Total expenses 1262. EXCESS TRAVEL SCHOL RESTRICTED EXP: Program service expenses 738. Management and general expenses 0. Fundraising expenses 0. Total expenses 738. TAXES & LICENSES: Program service expenses 0. Management and general expenses 175. Fundraising expenses 0. Total expenses 175. FORM 990, PART XII, LINE 2C NO CHANGES HAVE BEEN MADE TO THE BOARD'S REVIEW/OVERSIGHT PROCEDURES OF THE AUDITED FINANCIAL STATEMENTS THAT WERE IN PLACE IN THE PREVIOUS YEAR.