2019-07-08T09:32:05-07:00 2018-10-31 990 2017-11-01 561520520 AMERICAN BOARD OF PEDIATRICS FOUNDATION AMER 9199290461 111 SILVER CEDAR COURT CHAPEL HILL NC 27514 Ann Hazinski VP and CFO 9199290461 2019-07-08 66.194.212.183 2017 2019-02-21 02:37:17Z ANN HAZINSKI VP AND CFO 111 SILVER CEDAR COURT CHAPEL HILL NC 27514 2553001 0 X X 1986 NC SEE SCHEDULE O 9 8 0 8 0 0 2223908 2438728 0 0 31633 114273 0 2255541 2553001 273383 105000 0 0 50362 54216 0 0 0 1085915 1529019 1409660 1688235 845881 864766 5145072 6078057 341867 416864 4803205 5661193 X SEE SCHEDULE O 0 0 625412 0 0 PEDIATRICS MILESTONE ASSESSTMENT COLLABORATION (PMAC) SEE SCHEDULE O FOR FULL DESCRIPTION 210421 0 0 ROADMAP - SEE SCHEDULE O FOR FULL DESCRIPTION 152743 0 0 CENSUS SURVEY RESEARCH SUPPORT AND ANALYSIS - SEE SCHEDULE O FOR FULL DESCRIPTION 607008 105000 0 Support for pediatric research, pediatric organizations, and pediatric meetings involving parents, mental health and residency training 607008 105000 0 1595584 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 1 1 0 0 1 44 0 1 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 ANN E BURKE MD CHAIR-ELECT/CHAIR 1.5 8 X X 2100 12600 0 ANNA KUO MD SECRETARY-TREASURER/CHAIR ELECT 0.5 3.5 X X 0 6300 0 DAVID A GREMSE MD CHAIR/IMMEDIATE PAST CHAIR 1 4 X 0 8623 0 JOHN PATRICK T CO MD DIRECTOR 0.5 0.5 X 3570 1890 0 MARY FRAN HAZINSKI DIRECTOR/PUBLIC MEMBER 0.5 0 X 3780 0 0 STACEY L LIHN DIRECTOR/PUBLIC MEMBER 0.50 0 X 4050 0 0 VICTORIA F NORWOOD MD SECRETARY-TREASURER 0.75 2.75 X X 1260 10080 0 WILLIAM E SMOYER MD DIRECTOR 0.5 0 X 2100 0 0 CHRISTOPHER A CUNHA MD IMMEDIATE PAST CHAIR 0.5 2.5 X 1400 20548 0 DAVID G NICHOLS MD MBA DIRECTOR, PRESIDENT AND CEO 1 59 X X 0 815381 83173 ANN E HAZINSKI MBA CPA VP FINANCE AND CFO 3 51 X X 0 386978 90881 18260 1262400 174054 2 0 1 0 NATIONAL BOARD OF MEDICAL EXAMINERS 3750 MARKET STREET PHILADELPHIA PA 19104 DEVELOPMENT OF MILESTONE ASSESSMENT TOOL 464926 THE REGENTS OF THE UNIVERSITY OF MICHIGAN 1000 VICTORS WAY SUITE 1A ANN HABOR MI 481082744 SURVEY RESEARCH ON WORK EXPERIENCES OF PEDIATRICIANS 197600 RESEARCH TRIANGLE INSTITUTE PO BOX 900002 RALEIGH NC 276759000 CONTRACTED SERVICES FOR ADMINISTRATION AND RESEARCH 175240 3 0 0 0 2408228 0 30500 0 2438728 0 114273 0 0 114273 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2553001 0 0 114273 X 85000 85000 20000 20000 0 0 54216 28990 25226 0 0 0 4030 637 3393 0 3300 3300 0 1317326 1309477 7849 0 1550 152 1398 14794 14794 187964 151328 36636 55 55 1688235 1595584 92651 0 4424057 1499217 710157 8379 10858 2536 4567925 5145072 6078057 341867 416864 0 341867 416864 X 4803205 5661193 0 0 0 0 4803205 5661193 5145072 6078057 X 864766 -6778 0 0 0 0 X 0 1 X 1 0 X X 1 AMERICAN BOARD OF PEDIATRICS INC 231417504 10 1 10000 1595584 1 10000 1595584 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 ABPF. In kind support includes allocated personnel costs of $791,086 and allocated share of occupancy cost of $79,107. Schedule A, Part IV, Section A, Line 6 American Board of Pediatrics Foundation (ABPF) supports the mission of the American Board of Pediatrics (ABP) to ensure excellence in education of pediatricians and the delivery of pediatric care. The Foundation achieves this 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. 0 X 3416416 -6778 870193 0 0 863415 2553001 0 0 0 2553001 2558428 870193 0 0 0 870193 1688235 0 0 0 1688235 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 taxing authorities based on the technical merits of the position. The ABPF has analyzed its tax positions taken 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, 2018 and 2017 Schedule D, Part XII, Line 2d ROUNDING 1 National Academy of Science Engineering and Medicine 500 Fifth Street NW Washington DC 20001 530196932 501(C)3 50000 Support Initiative For Promoting Children's Cognitive, Affective and Behavioral Health Academic Pediatric Association 6728 Old McLean Village Drive Mclean VA 22101 510202446 501(C)3 35000 Support of the New Century Scholars Program Family Voices PO Box 37188 Albuquerque NM 87176 850430800 501(C)3 10000 Support of the special health care needs and/or kids with disabilities 3 0 PAUL V MILES QUALITY IMPROVEMENT AWARD 1 10000 CASH Schedule I, Part I, Line 2 ABP Foundation personnel hvae meetings with grantees to gain feedback on how funds have been spent. In addition, the grantees prepare financial reports and an annual report summarizing the outcomes. These annual reports are reviewed by board of directors X 1 1 0 0 0 0 0 0 0 0 0 DAVID G NICHOLS MD MBA DIRECTOR, PRESIDENT AND CEO 0 667785 0 34484 0 113112 0 57479 0 25694 0 898554 0 0 ANN E HAZINSKI MBA CPA VP FINANCE AND CFO 0 348743 0 16769 0 21466 0 57479 0 33402 0 477859 0 0 Schedule J, Part I, Line 1a The ABP Foundation may cover spouse airfare to selected ABP Foundation meetings which is reported as taxable income to the recipient. This information is reported on Part VII and Schedule J under Other Taxable Income Form 990, Part I, Line 1 Form 990, Part 1, 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 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 Form 990, Part III, Line 4a- Pediatric Milestone Assessment Collaboration (PMAC) - The vision and mission of the Pediatric Milestones Assessment Collaboration is to provide all pediatric residents and fellows with assessment and feedback that is specific, behaviorally-based and real time. The plan is to develop a coherent system of competency-based assessment milestones that will be used in every teaching hospital, verifying continued competence beyond standardized testing of medical knowledge. It will drive continuous performance improvement, and set the stage for lifelong learning, guiding both professional and personal growth. PMAC was formed in March 2014 by the ABP, Association of Pediatric Program Directors (APPD) and the National Board of Medical Examiners (NBME). The goal is to use assessment of physicians as a means of providing evidence of individual physician competence, training program effectiveness, and ultimately, the provision of optimal healthcare. This multi-year project is studying three progression decisions: 1) readiness of a first year resident to care for inpatients with direct supervision, 2) readiness of a first year resident to care for patients without a supervisor nearby and 3) readiness to supervise others. Over this past year we began the work of the third decision and expect to complete the project on June 30th of this year. To date, we have studied almost a thousand unique learners and the results have been quite positive. The research supports the validity evidence of the items and tools that we are creating to assess pediatrics residents as they deliver care to patients. Part of this effort has been to disseminate this work to others in the medical profession who may be interested in engaging in similar work for their disciplines to benefit patient of all ages. Form 990, Part III, Line 4b Form 990, Part III, Line 4b - The ABP Foundation provided funding beginning February 1, 2017 to "Develop a Roadmap to Support the Emotional and Mental Health Needs of Patients with Chronic Illness and their Families". Healthcare professionals and about 25 patients and parents of children with chronic illness partnered together to: 1) Use a systematic process to understand patient and family needs for emotional support and mental health, with a focus on patients with chronic illness and their families; Identify current strategies for addressing emotional support and mental health of patients with chronic illness and their families from literature review, nine chronic disease network initiatives and other relevant organizational efforts; and 2) Develop and revise 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; provide strategies for networks and organizations to use that will improve emotional support and mental health for patients and families; and 3) facilitate the adoption of individual network initiatives that address the emotional support and mental health needs of patients and families, with 8 chronic disease networks testing strategies to accelerate the improvement of emotional support and mental health for patients and families. The ABP Roadmap website, launched in late May 2018, had almost 1500 unique views in 2018 with more than 400 downloads of project resources. In addition to disseminating the Roadmap materials, the project team is also designing a pilot collaborate with institutions and training organizations to understand implementation barriers and strategies. Form 990, Part III, Line 4c Form 990, Part III, Line 4c - Census Survey Research Support and Analysis - In 2009, the American Board of Pediatrics (ABP), as part of a research agreement with the Child Health Evaluation and Research (CHEAR) Unit at the University of Michigan, launched a census survey project which tracks the work experiences and choices of pediatricians over the continuum of their career, beginning from residency throughout Maintenance of Certification. Currently, the surveys are administered at the following points in a pediatrician's career, for a total of 7 unique surveys with some common questions to allow both a snapshot of the field as well as trends. (1) Residency Year 1-3 (The same survey is administered each year to all 3 training levels). (2) Application for the General Pediatrics (GP) Initial Certifying Examination, (3) Administration of the GP Initial Certifying Examination, (4) Subspecialty In-training Examination (SITE; this survey is administered every year during fellowship); (5) Application for Subspecialty (SS) Initial Certifying Examination, (6) Administration of the SS Initial Certifying Examination and (7) Re-enrollment into Maintenance of Certification (MOC) (every 5 years. The census survey project will allow the ABP Foundation to better understand training, the current workforce, and the workforce trends as both generalist and subspecialty pediatricians are tracked in the aggregate starting in residency and continuing throughout their careers. These surveys collect information related to (but not limited to) career choice, career path, and practice characteristics. This project is a continuation of the initial work that began in FY2014. Form 990, Part VI, Section B, Line 11b Form 990, Part VI, Section B, Line 11b - The Assistant Controller prepares the form 990 which is then reviewed by the Controller and 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 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 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, fees paid to National Board of Medical Examiners (NBME) for Pediatric Milestones Assessment Collaborative (PMAC) program and fees paid for internal contract labor. See 990 Part III line 4 Form 990, Part XI, Line 9 Form 990, Part XI, Line 9- Rounding 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 2359807 Cash transfer AMERICAN BOARD OF PEDIATRICS INC m 791086 Allocated Salaries/Benefits AMERICAN BOARD OF PEDIATRICS INC n 79107 Allocated Share of Occupancy Costs Based on Percentage of Staff Time AMERICAN BOARD OF PEDIATRICS INC p 642278 Cash receivables for expenses AMERICAN BOARD OF PEDIATRICS INC q 57511 Cash payment for expenses Additional time was needed to gather the information necessary to file a complete and accurate return.