2017-04-30T14:06:25-07:00 2016-10-31 990 2015-11-01 561520520 AMERICAN BOARD OF PEDIATRICS FOUNDATION AMER 9199290461 111 SILVER CEDAR COURT CHAPEL HILL NC 27514 Ann Hazinski VP and CFO 9199290461 2017-04-30 2015 2021-01-29 14:40:06Z David G Nichols MD MBA 111 Silver Cedar Court Chapel Hill NC 27514 1942470 0 X X 1986 NC SEE SCHEDULE O 9 8 0 0 0 0 4127441 1930406 0 0 582 12064 0 0 4128023 1942470 376469 344662 0 0 0 38603 0 0 0 789379 1215546 1165848 1598811 2962175 343659 3919718 4194898 306052 237573 3613666 3957325 X SEE SCHEDULE O 0 0 469644 0 0 PEDIATRIC MILESTONE ASSESSMENT COLLABORATION (PMAC) SEE SCHEDULE O FOR FULL DESCRIPTION 368634 0 0 MOCA Evaluation - SEE SCHEDULE O FOR FULL DESCRIPTION 204840 203500 0 LONGITUDINAL SURVEY RESARCH SUPPORT AND ANALYSIS - SEE SCHEDULE O 456005 141162 0 Support for pediatric research, pediatric organizations, and pediatric meetings involving parents, mental health and residency training. 456005 141162 0 1499123 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 5 0 1 0 0 0 0 0 0 0 0 0 0 1 1 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 JOHN PATRICK T CO MD DIRECTOR 0.5 0 X 0 7350 0 MARY FRAN HAZINSKI DIRECTOR 0.50 0 X 0 5098 0 STACY L LIHN DIRECTOR 0.50 0 X 0 5759 0 WILLIAM E SMOYER MD DIRECTOR 0.5 0 X 0 4900 0 LAURA M BROOKS MD IMMEDIATE PAST CHAIR/DIRECTOR 0.50 6.0 X 0 24833 0 ANN E BURKE MD SECRETARY-TREASURER/DIRECTOR 0.75 2.75 X X 0 8250 0 CHRISTOPHER A CUHNA MD CHAIR-ELECT AND CHAIR/DIRECTOR 1.5 8.0 X X 0 21475 0 DAVID A GREMSE MD SECRETARY-TREASURER AND CHAIR-ELECT/DIRECTOR 0.5 3.5 X X 0 6752 0 JOSEPH ST GEME III MD CHAIR, IMMEDIATE PAST CHAIR, AND DIRECTOR 2 8 X X 0 24500 0 DAVID G NICHOLS MD MBA DIRECTOR, PRESIDENT 1 49 X X 0 641909 81109 ANN E HAZINSKI MBA CPA VP FINANCE AND CFO 4 46 X 0 390109 87624 0 1140935 168733 0 0 1 0 NATIONAL BOARD OF MEDICAL EXAMINERS 3750 MARKET STREET PHILADELPHIA PA 19104 DEVELOPMENT OF MILESTONE ASSESSMENT TOOL 464245 Veredus Corporation PO Box 117036 Atlanta GA 303687036 Contracted services for adminstration and research 113264 RTI International Post Office Box 900002 Raleigh NC 276759000 research services for evaluation of MOCA Peds project 264958 3 0 0 0 1930131 0 275 0 1930406 0 12064 0 0 12064 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1942470 0 0 12064 X 334662 334662 10000 10000 38603 10983 27620 6709 2133 4576 11797 11797 1050463 1027087 23376 3619 2360 1259 3959 99 3860 138999 111799 27200 1598811 1499123 99688 0 3916783 4151197 2935 43701 3919718 4194898 306052 237573 0 0 306052 237573 X 3613666 3957325 0 0 0 0 3613666 3957325 3919718 4194898 343659 0 0 0 0 0 X 0 1 X 1 0 X X 1 AMERICAN BOARD Of PEDIATRICS INC 231417504 9 1 1930131 0 1 1930131 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 X 2707564 0 765094 0 0 765094 1942470 0 0 0 1942470 2363905 765094 0 0 0 765094 1598811 0 0 0 1598811 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 be 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 income tax positions for the years ended October 31, 2016 and 2015. Schedule D, Part XI, Line 2d IN KIND SUPPORT Schedule D, Part XII, Line 2d IN KIND SUPPORT 1 UNIVERSITY OF MICHIGAN 3003 SOUTH STATE STREET ANN ARBOR MI 48109 366066309 501(C)3 203500 0 PEDIATRIC WORKFORCE RESEARCH PROJECTS CONDUCTED BY THE UNIVERSITY OF MICHIGAN COUNCIL ON PEDIATRIC SUBSPECIALTIES 6728 OLD MCLEAN VILLAGE DRIVE MCLEAN VA 22101 271669910 501(C)3 38700 0 CASH $20,000 TO SUPPORT ANNUAL OPERATIONS AND $18,700 TO SUPPORT THE STUDY OF CLINICAL COMPENTENCY COMMITTEE EXPECTATIONS OF FELLOW PERFORMANCE FOR EACH SUBSPECIALTY. GLOBAL PEDIATRIC EDUCATION CONSORTIUM 6728 OLD MCLEAN VILLAGE DRIVE MCLEAN VA 22101 453076403 501(C)3 10000 0 CASH SUPPORT ANNUAL OPERATIONS ABFM FOUNDATION INC 1648 MCGRATHIANA PARKWAY LEXINGTON KY 40511 611368512 501(C)3 33333 0 CASH SUPPORT PROJECT FOR PHYSICIAN FACULTY DEVELOPMENT NATIONAL ACADEMY OF SCIENCES 500 FIFTH STREET NW WASHINGTON DC 20001 530196932 501(C)3 25000 0 CASH 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 21629 0 CASH SUPPORT OF THE NEW CENTURY SCHOLARS PROGRAM 7 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 X 1 1 0 0 0 0 0 0 0 0 0 DAVID G NICHOLS MD MBA DIRECTOR, PRESIDENT 0 598957 0 0 0 42952 0 57479 0 23630 0 723018 ANN E HAZINSKI MBA CPA VP FINANCE AND CFO 0 327552 0 0 0 62557 0 57479 0 30145 0 477733 Schedule J, Part I, Line 1a The ABP Foundation provides the option of first class travel to the ABP President, and the Chairman of the Board of Directors. These first class tickets are usually purchased using upgrades. As part of reported taxable income to committee appointees or senior management, the ABP Foundation may cover spouse airfare to selected ABP Foundation business meetings. 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 the 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 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. Form 990, Part III, Line 4a 1) Pediatric Milestone Assessment Collaboration (PMAC) - The vision and mission of the Pediatric Milestones Assessment Collaboration is to provide all pediatric residents and fellows with assessments 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, the 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 is a multi-year project. Over the previous year, we engaged with 11 training program to assess approximately 300 learners. Assessment instruments included items to address 11 competencies and their milestones. Analysis of the items and tools showed high reliability and a strong validity argument that supports the use of our tools to make decisions about the readiness of a trainee to care for an inpatient without a supervisor immediately available. Form 990, Part III, Line 4b MOCA 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. The plan, if successful, 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. This change will be supported by a new IT system that will focus on both learning and assessment of knowledge about general pediatrics. The new system, MOCA-Peds, will present diplomates with approximately 80-85 questions per year that will be based on a pre-determined set of learning objectives; question delivery will be spread out into equal increments by quarter. Up to five questions will be based on new guidelines or emerging topics. 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, supporting references, and other materials to support their continuing education about the learning objective(s) being evaluated. 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 a mobile app or web portal. To support this and other work related to the change, the ABP Foundation hired RTI International (RTI) under a Master Services Agreement (MSA) to provide research services and support to the American Board of Pediatrics Foundation (APBF). 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. Currently eight 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 meetings (Task 2), * psychometric analyses consulting (Task 3), * IRB consulting (Task 5), * 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 user groups (Task 10 pending contract completion). Tasks 1-2 and 5 are being completed during calendar year 2016, task 5-6 will be completed across calendar years 2016 and 2017, and tasks 7-10 will be completed across calendar years 2016, 2017 and early 2018. Form 990, Part III, Line 4c Longitudinal Survey Research Support and Analysis - In 2009, the American Board of Pediatrics (ABP), as part of a research agreement with Dr. Gary Freed at the Child Health Evaluation and Research (CHEAR) Unit at the University of Michigan, launched a longitudinal survey project which tracks the work experiences and choices of pediatricians over the continuum of their career, beginning from their residency throughout Maintenance of Certification. Currently, the surveys are administered at the following points in a pediatrician's career, for a total of 6 unique surveys with some common questions to allow both a snapshot of the field as well as trends: * Residency Years 1-3 (The same survey is administered each year to all 3 training levels), * Application for the General Pediatrics (GP) Initial Certifying Examination, * Administration of the GP Initial Certifying Examination, * Application for the Subspecialty (SS) Initial Certifying Examination, * Administration of the SS Initial Certifying Examination, and * Re-enrollment into Maintenance of Certification (MOC) (every 5 years). During the project period, a new survey was created for the administration of the Subspecialty In-training examination (SSITE) starting in 2017. This longitudinal survey project will allow the ABP Foundation to better understand training, the current workforce, and workforce trends as both generalist and subspecialty pediatricians are tracked 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 The controller prepares the form 990 which is then reviewed by the 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 filing the return with the IRS. 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 issue 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 actual or perceived conflicts of interest on an annual basis via a signed statement. These statements are reviewed by the Vice President for Human Resources and the President. Employees are removed from any 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 Evaluation program, fees paid to NBME for PMAC program and fees paid for internal contract labor. AMERICAN BOARD OF PEDIATRICS INC 111 SILVER CEDAR COURT CHAPEL HILL NC 27514 231417504 PROMOTES CHILDREN HEALTH DE 501(C)3 9 ABP 1 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 1930131 CASH TRANSFER AMERICAN BOARD OF PEDIATRICS INC m 695540 ALLOCATED SALARIES/BENEFITS AMERICAN BOARD OF PEDIATRICS INC n 69554 ALLOCATED SHARE OF OCCUPANCY COSTS BASED ON PERCENTAGE OF STAFF TIME AMERICAN BOARD OF PEDIATRICS INC p 150976 cash reimbursements