2018-05-10T17:06:22-07:00 2017-10-31 990 2016-11-01 561520520 AMERICAN BOARD OF PEDIATRICS FOUNDATION AMER 9199290461 111 SILVER CEDAR COURT CHAPEL HILL NC 27514 Ann Hazinski VP and CFO 9199290461 2018-05-10 2016 2022-09-23 18:48:47Z Ann Hazinski VP and CFO 111 SILVER CEDAR COURT CHAPEL HILL NC 27514 2255541 0 X X 1986 NC SEE SCHEDULE O 9 8 0 8 0 0 1930406 2223908 0 0 12064 31633 0 0 1942470 2255541 344662 273383 0 0 38603 50362 0 0 0 1215546 1085915 1598811 1409660 343659 845881 4194898 5145072 237573 341867 3957325 4803205 X SEE SCHEDULE O 0 0 457946 0 0 PEDIATRIC MILESTONE ASSESSMENT COLLABORATION (PMAC) SEE SCHEDULE O FOR FULL DESCRIPTION 229193 0 0 MOCA Peds Evaluation - SEE SCHEDULE O FOR FULL DESCRIPTION 161002 158100 0 CENSUS SURVEY RESEARCH SUPPORT AND ANALYSIS - SEE SCHEDULE O 473325 114933 0 Support for pediatric research, pediatric organizations, and pediatric meetings involving parents, mental health and residency training. 473325 114933 0 1321466 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 24 0 1 0 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 1 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 A GREMSE MD CHAIR 1.5 8 X X 0 0 0 ANN E BURKE MD CHAIR ELECT/DIRECTOR 0.5 3.5 X X 3570 10145 0 ANN R KUO MD SECRETARY-TREASURER 0.75 2.75 X X 0 0 0 CHRISTOPHER A CUHNA MD IMMEDIATE PAST CHAIR/DIRECTOR 2.0 8.0 X 7000 35254 0 Joseph St Geme III MD IMMEDIATE PAST CHAIR 0.50 0 X 6300 13300 0 JOHN PATRICK T CO MD DIRECTOR 0.5 0 X 3885 0 0 MARY FRAN HAZINSKI DIRECTOR/PUBLIC MEMBER 0.5 0 X 3780 0 0 STACY L LIHN DIRECTOR/PUBLIC MEMBER 0.5 0 X 3780 0 0 WILLIAM E SMOYER MD DIRECTOR 0.5 0 X 4200 0 0 DAVID G NICHOLS MD MBA DIRECTOR, PRESIDENT AND CEO 1 49 X X 0 723757 81858 ANN E HAZINSKI MBA CPA VP FINANCE AND CFO 4 46 X X 0 377845 88717 32515 1160301 170575 2 0 1 0 NATIONAL BOARD OF MEDICAL EXAMINERS 3750 MARKET STREET PHILADELPHIA PA 19104 DEVELOPMENT OF MILESTONE ASSESSMENT TOOL 434639 RTI International Post Office Box 900002 Raleigh NC 276759000 research services for evaluation of MOCA Peds project 211230 Veredus Corporation PO Box 117036 Atlanta GA 303687036 Contracted services for administration and research 101455 3 0 0 0 2203908 0 20000 0 2223908 0 31633 31633 0 0 0 0 0 0 2255541 0 0 31633 X 263383 263383 10000 10000 50362 8874 41488 0 0 2777 1509 1268 9605 9605 914541 914541 0 4581 1338 3243 8473 5945 2528 145509 115846 29663 Miscellaneous 429 30 399 1409660 1321466 88194 0 4151197 4424057 43701 710157 10858 4194898 5145072 237573 341867 0 0 237573 341867 X 3957325 4803205 0 0 0 0 3957325 4803205 4194898 5145072 X 845881 0 0 0 0 -1 X 0 1 X 1 0 X X 1 AMERICAN BOARD Of PEDIATRICS INC 231417504 10 1 10000 1321466 1 10000 1321466 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 $689,469 and allocated share of occupancy cost of $68,948. Schedule A, Part IV, Section A, Line 6 See Schedule I, Part II RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X 3013957 0 758416 0 0 758416 2255541 0 0 0 2255541 2168077 758416 0 0 1 758417 1409660 0 0 0 1409660 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 21, 2017 and 2016 Schedule D, Part XII, Line 2d ROUNDING 1 University of Michigan 3003 South State Street Ann Arbor MI 48109 366066309 501(C)3 158100 Pediatric Workforce Research Projects Conducted By The University of Michigan ABFM Foundation Inc 1648 McGrathiana Parkway Lexington KY 40511 611368512 501(C)6 33333 Support Project for Physician Faculty Development 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 21600 Support of The New Century Scholars Program 3 0 Paul V Miles Quality Improvement Award 1 10000 Cash Schedule I, Part I, Line 2 ABP Foundation personnel have meetings with grantees to gain feedback on how funds have been spent. In addition, the grantees prepare financial reports and an annual report summarizing outcomes. These annual reports are reviewed by the 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 666009 0 0 0 57748 0 57479 0 24379 0 805615 0 0 ANN E HAZINSKI MBA CPA VP FINANCE AND CFO 0 351026 0 0 0 26819 0 57479 0 31238 0 466562 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 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 Pediatric Milestones 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 completed work for the second decision and study of the third decision was initiated. To date, almost one thousand unique learners were studied and the results have been quite positive. The research supports the validity evidence of the items and tools that were created 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 patients of all ages. Form 990, Part III, Line 4b MOCA Peds Evaluation - The American Board of Pediatrics (ABP) has committed to exploring alternatives to the Maintenance of Certification (MOC) part 3 requirements for diplomates of the board. The ABP plans to pilot a replacement for the current general pediatrics MOC part 3 exam beginning in January 2017 through 2018. The plan, if successful, and will replace the every 10-year general pediatrics re-certification exam with a series of test questions presented to diplomates on a continuous basis throughout their career. The new system, MOCA-Peds, incorporates and leverages information technology to improve and streamline learning and assessment for the benefit of the pediatrician. Diplomates will be presented a series of questions each year that will be based on a pre-determined set of learning objectives; question delivery will be spread out into equal increments by quarter. As diplomates respond to each question, they will receive immediate feedback about the answer to the question, rationale for the correct answer to the question, and supporting references. The ability to make a summative evaluation at the individual level is a critical component of the planned system. Diplomates will be expected to answer questions without collaborating with their peers. Resource materials will be allowed, but since questions will be timed the reliance on resources will likely be minimal. The proposed system is planned to be available via mobile app and portal. To support this and other work related to the change, the ABP Foundation hired RTI International (RTI) under a Master Service Agreement (MSA) to provide research services and support to the American Board of Pediatrics Foundation (ABPF). This project is designed to evaluate both research and practical questions related to the preparation for and implementation of the pilot of the general pediatrics version of MOCA-Peds in 2017 and 2018. Currently ten tasks that have been awarded to RTI for this work which include the following: user-centered design process with user groups (Task 1), focus groups at major CME events, pediatric conferences, and through virtual meeting (Task 2), summative assessment work (Task 4), manuscript support (Task 6), survey programming, hosting, and status reporting during the 2017 pilot (Task 7), survey development, analyses, and reporting for the 2017 pilot (task 8), focus groups with participating diplomates during the 2017 pilot (Task 9) and User-centered design process with subspecialist use groups (Task 10), cohort focus groups and survey analysis (Task 12) and subspecialty focus group on feasibility and maintaining general pediatrics certification (task 13). Task 1-2 were completed during calendar year 2017, task 4-13 will be completed across calendar years 2017 and 2018. 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) Application for Subspecialty (SS) Initial Certifying Examination, (5) Administration of the SS Initial Certifying Examination and (6) Re-enrollment into Maintenance of Certification (MOC) (every 5 years). In 2017, during the project period, a new survey was created for administration at the time of the (7) Subspecialty In-training Examination (SITE; this same survey is administered every year during fellowship). 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 A, Line 4 The ABP Foundation Board of Directors unanimously approved the following changes to its Articles of Incorporation and Bylaws during the year: The ABP Foundation Articles of Incorporation were amended to reflect the change of the American Board of Pediatrics from a 501(c)(6) organization to a 501(c)(3) organization and removed language that is no longer needed in the Articles of Incorporation. The ABP Foundation Bylaws were updated as follows: Added definitions to clarify the language, including definitions to differentiate between the ABP's Board of Directors and the ABP Foundation Board of Directors;Added qualifications required for members of the ABP Foundation Board of Directors and additional qualifications for the At-Large and Public members, as well as language describing the requirements for the removal or disqualification of a director;Removed unnecessary language, including how terms will be staggered, description of subcommittees, and revision history;Revised language to reflect the changes in the ABP Foundation Restated Articles of Incorporation;Revised language to reflect current practice; Revised language describing the duties of the President in order to standardize this language with the same language found in the ABP bylaws. Form 990, Part VI, Section B, Line 11b The Controller prepares the Form 990 and the CFO performs 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 sent to the Board of Directors. The Board of Directors is 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. The CFO reviews the return with the Finance Committee during the Board meeting. The Board is also given an opportunity to ask questions or provide feedback during the full board meeting. Both the Finance Committee and Board of Directors are e-mailed a final filing copy prior to submission. 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 MOCA Peds Evaluation program, fees paid to National Board of Medical Examiners for PMAC program, Veredus Corporation for research as well as fees paid for internal contract labor. The named contractors are included in Part VII, Section B and on Schedule O Statement 2. 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 0 0 0 AMERICAN BOARD OF PEDIATRICS INC c 2141583 Cash transfer AMERICAN BOARD OF PEDIATRICS INC m 689469 Allocated Salaries/Benefits AMERICAN BOARD OF PEDIATRICS INC n 68948 Allocated Share of Occupancy Costs Based on Percentage of Staff Time AMERICAN BOARD OF PEDIATRICS INC p 104294 cash reimbursements