2018-11-14T18:50:20-06:00 2017-12-31 481243147 CHRISTOPHER J CLAIR CPA PA 6409 GLADSTONE DRIVE SHAWNEE KS 66218 990 2017-01-01 237035351 SOCIETY FOR ADOLESCENT HEALTH AND MEDICINE SOCI 4042523663 ONE PARKVIEW PLAZA STE 800 OAKBROOK TERRACE IL 60181 MICHAEL MIZERAK GROUP CONTROLLER 4042523663 2018-11-14 1 CHRISTOPHER J CLAIR P00218187 9136310336 2018-11-13 65.28.101.210 2018-11-14 18:48:29 CS P DB063738560E35EF0DBDE79F1C07A5E195F0D834 DB063738560E35EF0DBDE79F1C07A5E195F0D834 2017 2019-02-21 02:37:17Z TAMERA COYNE-BEASLEY MD ONE PARKVIEW PLAZA STE 800 OAKBROOK TERRACE IL 60181 1527701 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 202926 197511 1337844 1278127 23381 30183 23001 21880 1587152 1527701 10350 14227 0 0 0 0 0 0 0 1400281 1489280 1410631 1503507 176521 24194 1958609 1996927 312471 313525 1646138 1683402 X SEE MISSION STATEMENT ON FORM 990 PAGE 1, PART 1, LINE 1 AND CONTINUED ON SCHEDULE O 0 0 614668 527811 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. 527204 511204 ANNUAL MEETING -- ANNUAL EVENT HELD TO DISCUSS LATEST ADOLESCENT HEALTH TOPICS AND EXCHANGE INFORMATION RELEVANT TO THE FIELD. 16077 260317 MEMBERSHIP AND ADMINISTRATION -- DAY-TO-DAY OPERATION OF THE ORGANIZATION AND DUES. 68659 14227 675 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. 68659 14227 675 1226608 1 1 0 0 0 0 0 0 0 1 0 1 0 1 0 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 10 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 TAMERA COYNE-BEASLEY MD MPH FAAP PRESIDENT 2.00 X X 0 0 0 DEBORAH CHRISTIE PHD FSAHM PRESIDENT-ELECT 2.00 X X 0 0 0 TANYA L KOWALCZYK MULLINS MD MS SECRETARY-TREASURER 2.00 X X 0 0 0 GREG ZIMET PHD FSAHM PAST PRESIDENT 2.00 X X 0 0 0 DAVID BELL MD MPH MEMBER-AT-LARGE 1.00 X 0 0 0 RENATA A SANDERS MD MPH SCM MEMBER-AT-LARGE 1.00 X 0 0 0 DEBBIE K KATZMAN MD FSAHM MEMBER-AT-LARGE 1.00 X 0 0 0 MARIA T BRITTO MD MPH MEMBER-AT-LARGE 1.00 X 0 0 0 JESSICA KAHN MD MPH MEMBER-AT-LARGE 1.00 X 0 0 0 COLETTE L AUERSWALD MD MS FSAHM MEMBER-AT-LARGE 1.00 X 0 0 0 LISA BARKLEY MD FSAHM MEMBER-AT-LARGE 1.00 X 0 0 0 KIMBERLY J WEST MD MPH MEMBER-AT-LARGE 1.00 X 0 0 0 NICHOLAS CHADI MD MEMBER-AT-LARGE 1.00 X 0 0 0 GIOSI DIMEGLIO MD MPH FSAHM MEMBER-AT-LARGE 1.00 X 0 0 0 RYAN NORTON EXECUTIVE DIRECTOR 10.00 X 0 0 0 0 0 0 0 0 0 0 UC REGENTS 3333 CALIFORNIA ST STE 245 SAN FRANCISCO CA 94118 EDITORIAL SERVICES 386811 KELLEN COMPANY 3200 WINDY HILL ROAD SE STE 600 W ATLANTA GA 30339 MANAGEMENT SERVICES 381224 NEW ORLEANS MARRIOTT 555 CANAL STREET NEW ORLEANS LA 70130 ANNUAL MEETING 196942 3 197511 197511 JOURNAL 511120 527811 527811 ANNUAL MEETING 611430 507545 507545 MEMBERSHIP DUES 611710 242096 242096 FELLOWS INITIATION FEE 611430 675 675 1278127 30183 30183 WEBSITE 900099 18221 18221 MISCELLANEOUS 900099 3659 3659 21880 1527701 1300007 0 30183 X 14227 14227 381224 185638 195586 211 211 8610 8610 2851 2851 34005 34005 2886 2886 10352 10352 16077 16077 3760 3760 329343 329343 2732 2732 JOURNAL 614668 614668 BOARD/COMMITTEE EXPENSE 29803 29803 BANK/CREDIT CARD FEES 26575 12223 14352 NIDA MENTOR STIPEND 15000 15000 11183 5427 5756 1503507 1226608 276899 0 401189 573392 309917 317858 2307 120375 25975 946130 927789 178691 151913 1958609 1996927 56456 24362 256015 289163 312471 313525 X 1214372 1331789 351766 271613 80000 80000 1646138 1683402 1958609 1996927 24194 14269 -1199 0 X X 0 1 X 1 0 X 297373 416022 682191 454146 439607 2289339 1039214 953127 1065838 1086624 1036031 5180834 1336587 1369149 1748029 1540770 1475638 7470173 19489 1950 21439 0 19489 1950 21439 7448734 16902 22819 20048 23381 30183 113333 16902 22819 20048 23381 30183 113333 18043 13060 17424 23001 21880 93408 1371532 1405028 1785501 1587152 1527701 7676914 0.97030 0.97080 0.01480 0.01330 X 82688 200 820 1609 82099 83796 200 300 1608 82688 84415 812 265 1696 83796 86470 814 320 3189 84415 87991 855 806 3182 86470 0.97440 0.02560 0 0 0 MORGAN STANLEY 927789 F 927789 ROYALTY RECEIVABLE 151913 151913 X 1541970 14269 14269 1527701 0 1527701 1503507 0 1503507 0 1503507 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. 1 ANNUAL MEETING INTERNATIONAL TRAVEL SCHOLARSHIPS 3 7509 LITT VISITING PROFESSORSHIP 2 3609 TRAVEL SCHOLARSHIPS 3 1500 CAREER DEVELOPMENT AND DIABETES RESEARCH 1 1609 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 STRATEGIC PLANNING INITIATIVE FEES: Program service expenses 34005. Management and general expenses 0. Fundraising expenses 0. Total expenses 34005. Form 990, Part IX, line 24e AWARDS: Program service expenses 218. Management and general expenses 5692. Fundraising expenses 0. Total expenses 5910. OTHER PUBLICATIONS: Program service expenses 3209. Management and general expenses 0. Fundraising expenses 0. Total expenses 3209. FSAHM: Program service expenses 2000. Management and general expenses 0. Fundraising expenses 0. Total expenses 2000. MISCELLANEOUS: Program service expenses 0. Management and general expenses 64. Fundraising expenses 0. Total expenses 64. 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.