2019-05-13T08:15:12-05:00 2018-06-30 410746749 CLIFTONLARSONALLEN LLP 610 W GERMANTOWN PIKE STE 400 PLYMOUTH MEETING PA 19462 990 2017-07-01 232585181 ABIM FOUNDATION ABIM 2154463500 510 WALNUT STREET NO 1700 PHILADELPHIA PA 191063699 VINCENT MANDES SENIOR VP & CFO 2154463500 2019-05-03 1 VICKI RAIVITCH CPA P02060731 2156433900 67.137.57.251 2019-05-03 09:53:28 ED P 78C7C00D50616E2D554BFF091F9AC1ABF794A7F9 176E0DDB0ADBEEF1806F23B64525978F979EB107 2017 2019-02-21 02:37:17Z RICHARD J BARON 510 WALNUT STREET NO 1700 PHILADELPHIA PA 191063699 10814595 0 X WWW.ABIMFOUNDATION.ORG X 1989 PA SEE SCHEDULE O.AS AN OPERATING CHARITY, THE ABIM FOUNDATION DEVELOPS AND IMPLEMENTS PROJECTS IN SUPPORT OF OUR MISSION TO ADVANCE THE CORE VALUES OF MEDICAL PROFESSIONALISM AS A FORCE TO IMPROVE THE QUALITY OF HEALTH CARE. 13 2 9 2 -26264 -22714 15481 689237 0 0 3441159 6344908 4677 24885 3461317 7059030 3859299 4527378 0 0 1783550 1751432 0 0 0 1450483 1048892 7093332 7327702 -3632015 -268672 74637467 72597681 2487870 1244382 72149597 71353299 X SEE SCHEDULE O.AS AN OPERATING CHARITY, THE ABIM FOUNDATION DEVELOPS AND IMPLEMENTS PROJECTS IN SUPPORT OF OUR MISSION TO ADVANCE THE CORE VALUES OF MEDICAL PROFESSIONALISM AS A FORCE TO IMPROVE THE QUALITY OF HEALTH CARE. ONE OF OUR MOST SIGNIFICANT CONTRIBUTIONS HAS BEEN THE PUBLICATION OF MEDICAL PROFESSIONALISM IN THE NEW MILLENNIUM: A PHYSICIAN CHARTER IN 2002. OUR PAST AND PRESENT INITIATIVES FOCUS ON PROMOTING THE PRINCIPLES AND COMMITMENTS OUTLINED IN THIS SEMINAL DOCUMENT. 0 0 7327702 4527378 19943 OUR WORK IS DEDICATED TO EXPLORING HOW PHYSICIAN LEADERS, HEALTH CARE ORGANIZATIONS AND PUBLIC POLICY MAKERS CAN ADVANCE MEDICAL PROFESSIONALISM THROUGHOUT THE HEALTH CARE SYSTEM IN ORDER TO IMPROVE CARE FOR EVERYONE. THE IDEALS OF PROFESSIONALISM, SUCH AS COMPETENCE AND THE PRIMACY OF PATIENT WELFARE, HAVE BEEN PREVIOUSLY DEFINED IN OUR WIDELY-ADOPTED PHYSICIAN CHARTER. INDIVIDUALS, ORGANIZATIONS, AND THE PROFESSION ALL EXPERIENCE OBSTACLES TO ACHIEVING THESE IDEALS.THROUGH OUR INITIATIVES, WE SEEK TO BETTER UNDERSTAND THESE OBSTACLES AND EXPLORE WAYS TO OVERCOME THEM. MUCH OF OUR WORK FOCUSES ON ADVANCING MEDICAL PROFESSIONALISM IN THE AREA OF THE WISE USE, OR STEWARDSHIP, OF RESOURCES. (CONTINUED ON SCHEDULE O.) THIS INCLUDES THE SUCCESSFUL CHOOSING WISELY CAMPAIGN WHICH HAS RESHAPED HOW PHYSICIANS AND PATIENTS DISCUSS WHETHER OR NOT PARTICULAR SERVICES ARE IN THE BEST INTEREST OF THE PATIENT. 7327702 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 63 0 9 1 1 1 0 0 0 0 0 0 0 0 0 X 13 2 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X X VINCENT MANDES 2154463500 510 WALNUT STREET SUITE 1700 PHILADELPHIA PA 191063699 X CLARENCE H BRADDOCK III MD MPH BOT (SEE SCHEDULE O) 5.00 7.00 X 12376 25625 0 JOHN G HAROLD MD BOT 5.00 0.00 X 10876 0 0 JACKIE JUDD BOT 5.00 0.00 X 13876 0 0 SHARON A LEVINE MD BOT 5.00 0.00 X 12376 0 0 DAVID B REUBEN MD BOT 5.00 0.00 X 12376 0 0 ANITA SAMARTH BOT 5.00 0.00 X 10876 0 0 PATRICIA M CONOLLY MD BOT 5.00 7.00 X 2750 32125 0 FREDERICK CERISE MD MPH BOT 5.00 0.00 X 2750 0 0 ANTONIA M VILLARRUEL PHD RN FAAN BOT 5.00 0.00 X 4250 0 0 ELIZABETH A MCGLYNN PHD CHAIR 5.00 0.00 X X 0 0 0 HOLLY J HUMPHREY MD IMMEDIATE PAST CHAIR 5.00 0.00 X X 12376 0 0 CHRISTINE A SINSKY MD VICE CHAIR 5.00 0.00 X X 10876 0 0 GREGORY P POULSEN MBA SECRETARY-TREASURER 5.00 0.00 X X 0 0 0 RICHARD J BARON PRESIDENT 8.00 32.00 X 145397 581589 137582 VINCENT MANDES SENIOR VICE PRESIDENT/CFO 4.00 36.00 X 76328 305310 43704 DANIEL WOLFSON EVP/COO 40.00 0.00 X 430184 0 82113 TIMOTHY LYNCH SENIOR DIRECTOR, FOUNDATION PROGRAMS 40.00 0.00 X 158750 0 51180 916417 944649 314579 3 0 1 0 0 689237 689237 3032116 -26264 3058380 4665 4665 7068357 3755565 3312792 3312792 3312792 HONORARIA 900099 19943 19943 REFUNDS 900099 277 277 20220 7059030 19943 -26264 6376114 4527378 4527378 846292 846292 639238 639238 80600 80600 106496 106496 78806 78806 25829 25829 10015 10015 192172 192172 90410 90410 91156 91156 109292 109292 98473 98473 415194 415194 16351 16351 7327702 7327702 0 0 550339 1504439 2026736 1028534 1164044 507431 62150 21952 220320 181846 24011 24011 0 0 34829998 35867236 35783880 33486243 74637467 72597681 1731090 1242165 756780 2217 2487870 1244382 X 70985553 70845868 1164044 507431 72149597 71353299 74637467 72597681 -268672 -527626 0 X 0 1 X 1 0 X X X 1 THE AMERICAN BOARD OF INTERNAL MEDICINE 390866228 10 1 4428301 0 1 4428301 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 FORM 990, SCHEDULE A, PART IV, SECTION A, LINE 6 THE FOUNDATION AWARDED GRANTS TO: * THE UNIVERSITY OF TEXAS AT AUSTIN (AGENCEY OF THE STATE OF TEXAS) - CHOOSING WISELY STARS PROGRAM * NATIONAL ALLIANCE OF HEALTHCARE PURCHASER COALITIONS (501(C)(6) ORGANIZATION) - CHOOSING WISELY HEALTHCARE PURCHASER COALITION * COSTS OF CARE (501(C)(3) ORGANIZATION) - CREATING VALUE CHALLENGE AND LEARNING NETWORK 24011 24011 0 0 TIFF KEYSTONE FUND, LLP 33486243 F 33486243 DUE TO AMERICAN BOARD OF INTERNAL MEDICINE 2217 2217 X PART X, LINE 2: THE INTERNAL REVENUE SERVICE HAS GRANTED THE ORGANIZATION, WHICH IS NOT A PRIVATE FOUNDATION, EXEMPTION FROM INCOME TAXES UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRES THE ORGANIZATION TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN ANY UNCERTAIN TAX POSITIONS THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY A TAX AUTHORITY. MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD MAINTAINED ITS TAX- EXEMPT STATUS AND HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. ACCORDINGLY, NO PROVISION FOR THE INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. 1 THE AMERICAN BOARD OF INTERNAL MEDICINE 510 WALNUT STREET SUITE 1700 PHILADELPHIA PA 19106 390866228 501(C)(3) 4428301 PROGRAM/PRODUCT MODERNIZATION AND ENHANCEMENT THE UNIVERSITY OF TEXAS AT AUSTIN 3925 WEST BREAKER LANE BLDG 159 SUITE 311072 AUSTIN TX 78759 746000203 AGENCY,STATE OF TX 21000 CHOOSING WISELY STARS PROGRAM NATIONAL ALLIANCE OF HEALTHCARE PURCHASER COALITIONS 1015 18TH STREET NW SUITE 730 WASHINGTON DC 20036 650328971 501(C)(6) 25000 CHOOSING WISELY HEALTHCARE PURCHASER COALITION COSTS OF CARE 19 PONTIAC ROAD QUINCY MA 02169 272898108 501(C)(3) 50000 CREATING VALUE CHALLENGE AND LEARNING NETWORK 3 1 PART I, LINE 2: GRANTS ARE MADE TO A RELATED SUPPORTED ORGANIZATION, AMERICAN BOARD OF INTERNAL MEDICINE (ABIM), WHICH HAS SIMILAR BOARD MEMBERS. MONITORING OF THE GRANT FUNDS IS PERFORMED BY THE BOARD MEMBERS. GRANTEES OTHER THAN ABIM PROVIDE FORMAL QUARTERLY AND ANNUAL REPORTS. AT LEAST ONE SITE VISIT IS CONDUCTED WITH EACH GRANTEE DURING THE COURSE OF THE GRANT. X X X X X X 0 1 0 0 0 0 0 0 0 RICHARD J BARON PRESIDENT 120352 481408 21693 86773 3352 13408 24475 97899 3042 12166 172914 691654 0 0 VINCENT MANDES SENIOR VICE PRESIDENT/CFO 54605 218421 10951 43804 10772 43085 8648 34592 93 371 85069 340273 0 0 DANIEL WOLFSON EVP/COO 308298 0 61981 0 59905 0 43240 0 38873 0 512297 0 0 0 TIMOTHY LYNCH SENIOR DIRECTOR, FOUNDATION PROGRAMS 142623 0 0 0 16127 0 20964 0 30216 0 209930 0 0 0 SCHEDULE J, PART I, LINE 4B: THE ORGANIZATION HAS A 457(B) DEFERRED COMPENSATION PLAN FOR CERTAIN EMPLOYEES. THE PLAN ALLOWS THE GROUP OF EMPLOYEES TO DEFER COMPENSATION ON A TAX-FREE BASIS UP TO STATUTORY MAXIMUM LIMITS. CONTRIBUTIONS FOR THE CALENDAR YEAR ENDED DECEMBER 31, 2017: RICHARD BARON - $18,000 VINCENT MANDES - $18,000 DANIEL WOLFSON - $16,154 FORM 990, PART VI, SECTION A, LINE 7A THE CHAIRMAN AND IMMEDIATE PAST CHAIRMAN OF THE AMERICAN BOARD OF INTERNAL MEDICINE (ABIM) ARE REQUIRED TO BE TRUSTEES OF THE FOUNDATION. FIVE OF THE FOUNDATION'S TRUSTEES ARE SELECTED BY ABIM. THESE INDIVIDUALS MUST BE ACTIVE OR RECENT EMERITUS DIRECTORS OF ABIM, OR ACTIVE OR RECENT MEMBERS OF THE ABIM COUNCIL OR ONE OF THE ABIM SPECIALTY BOARDS. (FORMER DIRECTORS, COUNCIL MEMBERS AND MEMBERS OF SPECIALTY BOARDS MUST HAVE SERVED WITHIN SIX YEARS OF BEING APPOINTED AS A TRUSTEE OF THE FOUNDATION). FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE FINANCE DEPARTMENT PROVIDES ALL INFORMATION AND REVIEWS THE FORM 990 PRIOR TO BOARD REVIEW. THE FORM 990 IS THEN MADE AVAILABLE TO THE ENTIRE GOVERNING BODY, VIA EMAIL, FOR COMMENTS AND QUESTIONS. ONCE ALL COMMENTS AND QUESTIONS HAVE BEEN ADDRESSED, THE FORM 990 IS APPROVED. THE CFO SIGNS THE FORM 990 AND COMMUNICATES TO THE BOARD OF DIRECTORS THAT THE FORM 990 HAS BEEN FILED. FORM 990, PART VI, SECTION B, LINE 12C MEMBERS OF THE BOARD OF TRUSTEES AND COMMITTEES ARE EXPECTED TO HAVE THE MISSION OF THE FOUNDATION AS THEIR PRIMARY INTEREST WHEN CONTRIBUTING TO THE FOUNDATION'S WORK. A CONFLICT OF INTEREST MAY ARISE WHEN, DUE TO A COMPETING OUTSIDE INTEREST, A BOARD TRUSTEE OR COMMITTEE MEMBER HAS THE OPPORTUNITY TO INFLUENCE FOUNDATION ACTIVITY IN WAYS THAT COULD LEAD TO, OR APPEAR TO LEAD TO, PERSONAL OR INSTITUTIONAL GAIN OR ADVANTAGE. THE ABIM FOUNDATION CONFLICT OF INTEREST POLICY IS INTENDED TO MANAGE CONFLICTS THAT ARISE FROM COMPETING INTERESTS. INTERESTS THAT HAVE THE POTENTIAL TO BE IN CONFLICT WITH THE INTERESTS OF THE FOUNDATION INCLUDE EMPLOYMENT, CONSULTANCIES, AND ADVISORY POSITIONS TO PHARMACEUTICAL, MEDICAL SUPPLY, AND OTHER MEDICAL OR BIOTECHNOLOGY COMPANIES; PERSONAL INVESTMENTS IN SUCH COMPANIES; AND OTHER AFFILIATIONS (E.G., SERVICE AS A TRUSTEE, OFFICER, OR DIRECTOR) WITH MEDICAL ORGANIZATIONS. FOUNDATION ACTIVITIES WHICH COULD BE INAPPROPRIATELY INFLUENCED INCLUDE DECISIONS ON GRANT AWARDS, PROGRAMS AND POLICY DEVELOPMENT. IN ADDITION TO COMPLETING THE ANNUAL DISCLOSURE REQUIREMENTS, TRUSTEES, COMMITTEE MEMBERS, AND EXECUTIVE STAFF MEMBERS MUST DISCLOSE TO THE GOVERNANCE AND NOMINATING COMMITTEE ON AN ONGOING BASIS ALL MATERIAL FACTS CONCERNING ANY SITUATION THAT MIGHT BE VIEWED AS A CONFLICT. IN ORDER TO ENSURE IMPARTIAL DECISION MAKING, NO TRUSTEE, COMMITTEE MEMBER, OR EXECUTIVE STAFF MEMBER SHALL PARTICIPATE (OTHER THAN BY PROVIDING INFORMATION) IN ANY DELIBERATION OR DECISION IN WHICH HE OR SHE HAS A CONFLICT OF INTEREST. THE FINAL ARBITER OF WHETHER OR NOT A CONFLICT EXISTS IS THE GOVERNANCE AND NOMINATING COMMITTEE. ANY TRUSTEE, COMMITTEE MEMBER, OR EXECUTIVE STAFF MEMBER MAY REQUEST A REVIEW AND OPINION OF THAT COMMITTEE AT ANY TIME. THE FULL CONFLICT OF INTEREST POLICY CAN BE FOUND ON THE FOUNDATION WEBSITE - HTTP://ABIMFOUNDATION.ORG/WHO-WE-ARE/TRUSTEES/CONFLICT-OF-INTEREST-POLICY FORM 990, PART VI, SECTION B, LINE 15 THE ABIM FOUNDATION ENGAGES AN EXTERNAL COMPENSATION VENDOR TO CONDUCT AN ORGANIZATION-WIDE COMPENSATION REVIEW ROUGHLY EVERY THREE YEARS TO ASSURE COMPETITIVE BASE AND TOTAL COMPENSATION FOR ALL EMPLOYEES UP THROUGH AND INCLUDING VICE PRESIDENTS. EACH CYCLE, THE VENDOR: * REVIEWS ALL EXISTING JOB DESCRIPTIONS/DOCUMENTATION; * SPEAKS WITH KEY MANAGERS IN EACH FUNCTIONAL AREA; * RESEARCHES AND EXTRACTS PAY SURVEY DATA FOR SELECTED BENCHMARK JOB TYPES; AND, * ANALYZES SEVERAL PAY PRACTICE DATA SOURCES INCLUDING: VIEW OF COMMERCIAL SURVEY REPORTS (ECONOMIC RESEARCH INSTITUTE, SALARY.COM, PRM CONSULTING); * REVIEW OF 990S FOR NON-PROFIT ORGANIZATIONS WITH SIMILAR SIZES IN HEALTH CARE; AND * ASSESSMENT OF THE PAY PRACTICES OF OTHER NON-PROFIT AND FOR-PROFIT CLIENTS IN THE PHILADELPHIA LABOR MARKET. THE ABIM FOUNDATION MAINTAINS SALARIES IN LINE WITH DESIGNATED RANGES AND COMPETITIVE PAY PRACTICES. IN ADDITION, COMPENSATION OF OUR CEO IS REVIEWED EACH YEAR BY THE EXECUTIVE COMPENSATION COMMITTEE (ECC), AND THE ECC'S RECOMMENDATION ON CEO COMPENSATION NEEDS TO BE APPROVED BY THE BOARD OF TRUSTEES. OTHER EXECUTIVE-LEVEL STAFF IS SET AFTER RECOMMENDATION BY THE CEO AND THEN REVIEW AND APPROVAL BY THE EXECUTIVE COMPENSATION COMMITTEE. THE ECC DIRECTLY ENGAGES AN INDEPENDENT CONSULTANT TO PROVIDE DATA ON SALARIES FOR COMPARABLE EXECUTIVE POSITIONS IN COMPARABLE ORGANIZATIONS, UPDATED EVERY 2 YEARS, AND THIS COMPARATIVE DATA IS USED TO SET, REVIEW AND APPROVE ALL EXECUTIVE SALARIES. THE EXECUTIVE COMPENSATION COMMITTEE REPORTS EXECUTIVE COMPENSATION ANNUALLY TO THE FULL BOARD OF TRUSTEES. THE REVIEW AND APPROVAL OF CEO AND EXECUTIVE-LEVEL STAFF COMPENSATION IS DOCUMENTED IN THE MINUTES OF THE ECC. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VII: CLARENCE H. BRADDOCK RECEIVED $25,625 IN COMPENSATION DURING 2017 FOR HIS SERVICE ON THE BOARD OF THE AMERICAN BOARD OF INTERNAL MEDICINE (ABIM) DURING THE YEAR ENDED JUNE 30, 2017. HE DID NOT SERVE ON THE ABIM BOARD DURING THE YEAR ENDED JUNE 30, 2018. THE AMERICAN BOARD OF INTERNAL MEDICINE 510 WALNUT STREET SUITE 1700 PHILADELPHIA PA 19106 390866228 TO ENHANCE THE QUALITY OF HEALTH CARE IN INTERNAL MEDICINE IA 501(C)(3) LINE 10 N/A 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0