2017-05-15T14:02:13-05:00 2016-06-30 521855942 TATE AND TRYON 2021 L STREET NW SUITE 400 WASHINGTON DC 20036 990 2015-07-01 521219436 AMERICAN ACADEMY OF OTOLARYNGOLOGY HEAD & NECK SURGERY INC AMER 7038364444 1650 DIAGONAL ROAD ALEXANDRIA VA 22314 JAMES DENNENY III MD EVP/CEO 7038364444 2017-05-15 1 DEBORAH G KOSNETT P00290720 2022932200 2017-05-11 2015 2021-01-29 14:40:06Z JAMES DENNENY III MD 1650 DIAGONAL ROAD ALEXANDRIA VA 22314 7716738 0 X WWW.ENTNET.ORG X 1981 DC EMPOWERING OTOLARYNGOLOGIST-HEAD AND NECK SURGEONS TO DELIVER THE BEST PATIENT CARE. 17 15 0 700 99595 88418 51911 8917 6784463 6842321 163681 185343 630208 680157 7630263 7716738 51700 51800 0 0 3879582 3877414 0 0 0 2666921 2241418 6598203 6170632 1032060 1546106 14872810 16073045 3540893 3388667 11331917 12684378 X HELPING MEMBERS ACHIEVE EXCELLENCE AND PROVIDE THE BEST EAR, NOSE, AND THROAT CARE THROUGH PROFESSIONAL AND PUBLIC EDUCATION, RESEARCH, AND HEALTH POLICY ADVOCACY. 0 0 MEMBERSHIP: THE ACADEMY MAINTAINS AND ADMINISTERS INFORMATION RELATING TO ITS MEMBERS, COMPILES AND PREPARES PUBLICATIONS DRAWING ON THESE RECORDS, PROVIDES OPPORTUNITIES FOR VOLUNTEER LEADERSHIP THROUGH COMMITTEE INVOLVEMENT AND ANSWERS QUESTIONS FOR MEMBERS, NON-MEMBER PROFESSIONALS, AND THE PUBLIC. GOVERNMENT AFFAIRS: THE ACADEMY ADVOCATES TO THE U.S. CONGRESS AND STATE LEGISLATURES ON BEHALF OF ITS MEMBERSHIP ON KEY ISSUES IMPACTING THE SPECIALTY, MEMBERS' PRACTICES AND PATIENTS. NUMEROUS OPPORTUNITIES ARE PROVIDED FOR ACADEMY MEMBERS TO INTERACT WITH THEIR ELECTED OFFICIALS. COMMUNICATIONS: THE ACADEMY PUBLISHES A MONTHLY MAGAZINE, THE BULLETIN, AND PRODUCES DIGITAL AND SOCIAL MEDIA COMMUNICATIONS ABOUT PROGRAMS AND SERVICES, SPECIALTY INNOVATIONS, AND GOVERNMENTAL AND SOCIOECONOMIC ISSUES AFFECTING THE SPECIALTY. ITS MEDIA RELATIONS PROGRAMS EDUCATE THE PUBLIC ABOUT THE SPECIALTY AND DISSEMINATE ITS HEALTH INFORMATION. CREATIVE SERVICES PRODUCES PRINT, DIGITAL, AND VIDEO MATERIALS. HEALTH POLICY: THE ACADEMY MAINTAINS VISIBILITY AND CREDIBILITY WITH NATIONAL REPRESENTATIVES REGARDING SOCIOECONOMIC AND FEDERAL REGULATORY ISSUES AND ADVOCATES FOR APPROPRIATE REIMBURSEMENT AND FAIR POLICIES WITH MEDICARE AND PRIVATE PAYERS; PROVIDING MEMBERS WITH INFORMATION AND GUIDANCE ON REIMBURSEMENT ISSUES ENCOUNTERED AT THE STATE AND LOCAL LEVEL. 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 20 0 1 0 1 1 0 0 0 1 1 0 X 17 15 0 0 0 0 1 1 1 1 1 0 0 1 1 0 1 1 1 1 0 0 X CARRIE HANLON SR DIR FIN OPS 7038364444 1650 DIAGONAL ROAD ALEXANDRIA VA 22314 SUJANA CHANDRASEKHAR MD PRESIDENT 5.00 5.00 X X 6250 6250 0 GREGORY W RANDOLPH MD PRESIDENT-ELECT 5.00 5.00 X X 0 0 0 GAYLE S WOODSON MD IMMED. PAST PRESIDENT 2.00 2.00 X 18750 18750 0 RICHARD W WAGUESPACK MD IMMED. PAST PRESIDENT (JUL-SEPT) 2.00 2.00 X 0 0 0 SCOTT P STRINGER MD SECRETARY-TREASURER 5.00 5.00 X X 0 0 0 J GAVIN SETZEN MD SECRETARY-TREASURER (JUL-SEPT) 5.00 5.00 X X 0 0 0 DAVID R EDELSTEIN MD CHAIR - BOG 5.00 5.00 X 3000 0 0 WENDY B STERN MD PAST CHAIR - BOG 2.00 2.00 X 9000 0 0 STACEY L ISHMAN MD CHAIR-ELECT - BOG 5.00 5.00 X 0 0 0 MICHAEL G STEWART MD AT-LARGE DIRECTOR (JUL-SEPT) 2.00 2.00 X 0 0 0 PAUL T FASS MD AT-LARGE DIRECTOR (JUL-SEPT) 2.00 2.00 X 0 0 0 TIMOTHY L SMITH MD AT-LARGE DIRECTOR 2.00 2.00 X 0 0 0 SETH R SCHWARTZ MD AT-LARGE DIRECTOR 2.00 2.00 X 0 0 0 KAREN T PITMAN MD AT-LARGE DIRECTOR 2.00 2.00 X 0 0 0 MICHAEL D SEIDMAN MD AT-LARGE DIRECTOR 2.00 2.00 X 0 0 0 JAY S YOUNGERMAN MD AT-LARGE DIRECTOR 2.00 2.00 X 0 0 0 CAROL R BRADFORD MD AT-LARGE DIRECTOR 2.00 2.00 X 0 0 0 DUANE J TAYLOR MD AT-LARGE DIRECTOR 2.00 2.00 X 0 0 0 KATHLEEN I YAREMCHUK MD AT-LARGE DIRECTOR 2.00 2.00 X 0 0 0 RICHARD M ROSENFELD MD CHAIR, SSAC (JUL - SEPT) 2.00 2.00 X 0 0 0 DENNIS H KRAUS MD CHAIR, SSAC 2.00 2.00 X 0 37500 0 PETE S BATRA MD CHAIR-ELECT, SSAC 2.00 2.00 X 0 0 0 DAVID R NIELSEN MD EVP/CEO (OUTGOING) 20.00 20.00 X 72517 72517 21502 JAMES C DENNENY III MD EVP/CEO (INCOMING) 20.00 20.00 X 273023 273023 25204 BRENDA S HARGETT COO (FINAL YEAR) 20.00 20.00 X 48094 48094 13426 CARRIE L HANLON SR DIR FIN. OPS. & DEVELOPMENT 20.00 20.00 X 85220 85220 24206 JOY L TRIMMER SR DIR GOVT AFFAIRS/MBR NETWKS 40.00 0.00 X 224010 0 30203 JEAN M BRERETON SR DIR R/Q & HLTH POLICY 16.00 24.00 X 77691 144284 29180 MICHAEL A ROBEY SR DIR IT & MEMBERSHIP 20.00 20.00 X 87223 87223 24512 PAMELA S WOOD SR DIR HR, CORPORATE & HR 20.00 20.00 X 92464 92464 25626 KATHERINE E LEWIS SR DIR COMMUNICATIONS 38.00 2.00 X 149718 7880 22837 JENNA KAPPEL DIRECTOR HEALTH POLICY 40.00 0.00 X 147166 0 27715 LYNN FRISCHKORN DIRECTOR CONTRACTS & FACILITIES 20.00 20.00 X 69206 69206 13880 STEPHANIE JONES DIRECTOR RESEARCH & QUALITY 20.00 20.00 X 65442 65442 20252 1428774 1007853 278543 7 0 1 0 0 8917 8917 MEMBERSHIP DUES 900099 6724769 6724769 PRODUCT SALES 900099 117552 117552 6842321 185343 185343 528697 99595 429102 MAILING LIST RENTALS 900099 148820 148820 MISCELLANEOUS REVENUE 900099 2640 2640 151460 7716738 6842321 99595 765905 51800 1005773 2212853 166065 283565 209158 27444 21486 38398 83358 588187 294259 340591 116506 371723 301742 19848 37876 6170632 10830861 11615622 79591 132569 20000 0 7736 9977 6137881 6100272 -495381 -495381 -1707878 -1290014 14872810 16073045 115908 32789 3424985 3355878 3540893 3388667 X 11169630 12528174 162287 156204 11331917 12684378 14872810 16073045 1546106 -193645 0 X X 0 1 X 1 0 AM ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY ENT PAC 1650 DIAGONAL ROAD ALEXANDRIA VA 22314 521789074 0 0 0 1 6724769 687372 120107 807479 739725 67754 PART I-A, LINE 1: THE ACADEMY CONDUCTS ALL POLITICAL ACTIVITIES THROUGH ITS CONNECTED POLITICAL ACTION COMMITTEE. PLEASE SEE PART I-C. 0 7523093 -193645 -193645 7716738 0 7716738 6170632 0 6170632 0 6170632 1 RESIDENT TRAVEL GRANTS TO THE 2015 AAO-HNSF ANNUAL MEETING 39 19500 RESIDENT TRAVEL GRANTS (TRAINING PROGRAMS) TO THE 2015 AAO-HNSF ANNUAL MEETI 55 27500 RESIDENT TRAVEL GRANTS TO THE 2016 SPRING LEADERSHIP FORUM 12 4800 PART I, LINE 2: IN ORDER TO BE CONSIDERED, ALL APPLICANTS MUST BE CURRENT RESIDENTS OR FELLOWS-IN-TRAINING, MEMBERS OF THE AAO-HNS AND ATTENDING A RESIDENCY PROGRAM AND/OR FELLOWSHIP IN THE U.S. OR CANADA. TO ENABLE US TO EFFECTIVELY AND EFFICIENTLY PROVIDE GRANTS BASED ON NEEDS,TRAINING PROGRAM DIRECTORS ARE ASKED TO NOMINATE AT LEAST TWO RESIDENTS FROM THEIR PROGRAMS THAT THEY DEEM WORTHY TO RECEIVE GRANTS. FROM THIS GROUP,THE AAO-HNS AWARDS GRANTS BASED ON THE RESIDENTS LEVEL OF PARTICIPATION. RESIDENTS WHO RECEIVE GRANTS ARE REQUIRED TO ATTEND THE SECTION FOR RESIDENTS AND FELLOWS-IN-TRAINING GENERAL ASSEMBLY. ATTENDANCE IS MONITORED AND TRACKED THROUGH THEIR MEMBERSHIP RECORD. AN INTERNAL COMMITTEE OF STAFF REVIEWS EACH APPLICATION. APPLICANTS MUST BE A MEMBER IN GOOD STANDING AND MUST SUBMIT AN APPLICATION WITHIN THE DEADLINE IN ORDER TO RECEIVE A LEADERSHIP GRANT. RESIDENTS SERVING IN A LEADERSHIP POSITION, WHICH INCLUDES THE SRF GOVERNING COUNCIL AND APPOINTED OFFICERS, ARE GUARANTEED A GRANT. ALL OTHER APPLICANTS MUST MEET AT LEAST THREE OF THE FOLLOWING EIGHT SELECTION CRITERIA. RESIDENTS PARTICIPATING IN MORE THAN THREE OF THE FOLLOWING AREAS ARE GIVEN FIRST PRIORITY TO RECEIVING THE GRANT: - RESIDENTS SERVING ON A COMMITTEE. - RESIDENTS SERVING AS A SRF RESIDENT REPRESENTATIVE FOR THEIR TRAINING PROGRAM. - RESIDENTS WHO ARE PRESENTING A POSTER AT THE MEETING. - RESIDENTS WHO ARE PRESENTING A RESEARCH/SCIENTIFIC PAPER AT THE MEETING. - RESIDENTS WHO ATTENDED THE BOG SPRING MEETING AND/OR THE JOINT SURGICAL ADVOCACY CONFERENCE. - RESIDENT WHO ARE FIRST-TIME ATTENDEES. - RESIDENTS WHO HAVE SENIORITY IN THEIR TRAINING PROGRAM AND AVAILABILITY TO ATTEND (AS IDENTIFIED BY TRAINING PROGRAM DIRECTOR AND/OR DEPARTMENT CHAIR) . - RESIDENTS WHO HAVE ATTENDED PREVIOUS MEETINGS BUT NEVER RECEIVED AN AAO-HNS/F LEADERSHIP GRANT. IF GRANTS ARE STILL AVAILABLE AFTER THE INITIAL SELECTION PROCESS, THE PROCESS WILL START ANEW BY SELECTING AT LEAST TWO, BUT NO MORE THAN THREE, RESIDENTS FROM EACH TRAINING PROGRAM USING THE SAME CRITERIA ABOVE. 0 1 0 DAVID R NIELSEN MD EVP/CEO (OUTGOING) 72517 72517 0 0 0 0 9974 9974 862 862 83353 83353 0 0 JAMES C DENNENY III MD EVP/CEO (INCOMING) 257592 257592 0 0 15431 15431 2596 2596 11026 11026 286645 286645 0 0 CARRIE L HANLON SR DIR FIN. OPS. & DEVELOPMENT 82720 82720 2500 2500 0 0 7735 7735 5388 5388 98343 98343 0 0 JOY L TRIMMER SR DIR GOVT AFFAIRS/MBR NETWKS 216010 0 8000 0 0 0 20278 0 11965 0 256253 0 0 0 JEAN M BRERETON SR DIR R/Q & HLTH POLICY 74733 138791 2958 5493 0 0 7008 13016 3919 7277 88618 164577 0 0 MICHAEL A ROBEY SR DIR IT & MEMBERSHIP 84723 84723 2500 2500 0 0 7868 7868 5408 5408 100499 100499 0 0 PAMELA S WOOD SR DIR HR, CORPORATE & HR 89114 89114 3350 3350 0 0 8379 8379 5454 5454 106297 106297 0 0 KATHERINE E LEWIS SR DIR COMMUNICATIONS 145633 7665 4085 215 0 0 13518 711 10115 532 173351 9123 0 0 JENNA KAPPEL DIRECTOR HEALTH POLICY 141566 0 5600 0 0 0 13885 0 15870 0 176921 0 0 0 LYNN FRISCHKORN DIRECTOR CONTRACTS & FACILITIES 69206 69206 0 0 0 0 6201 6201 1555 1555 76962 76962 0 0 STEPHANIE JONES DIRECTOR RESEARCH & QUALITY 63042 63042 2400 2400 0 0 5935 5935 4191 4191 75568 75568 0 0 PART I, LINE 3 THE ACADEMY DOES NOT HAVE ANY EMPLOYEES. ALL COMPENSATION IS SET AND ADMINISTERED BY THE ACADEMY'S RELATED FOUNDATION, THE AMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY FOUNDATION. METHODS USED BY RELATED ORGANIZATION TO DETERMINE COMPENSATION OF ACADEMY'S CEO: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT WRITTEN EMPLOYMENT CONTRACT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B DR. NIELSEN, 457F PLAN, $4,336 JOY TRIMMER, 457F PLAN, $2,278 FORM 990, PART VI, SECTION A, LINE 1 THE ACADEMY'S EXECUTIVE COMMITTEE CONSISTS OF THE PRESIDENT, THE MOST RECENT LIVING PAST PRESIDENT, THE PRESIDENT-ELECT, THE SECRETARY-TREASURER, THE CHAIR OF THE BOARD OF GOVERNORS, AND TWO (2) AT-LARGE DIRECTORS WHO ARE SERVING THE FOURTH AND FINAL YEAR OF THEIR TERM. THE CHAIR-ELECT OF THE BOARD OF GOVERNORS, SECRETARY-TREASURER ELECT AND EXECUTIVE VICE PRESIDENT ALSO SIT WITH THE EXECUTIVE COMMITTEE AND PARTICIPATE IN ALL DISCUSSIONS, BUT HAVE NO VOTE. BETWEEN BOARD MEETINGS, THE EXECUTIVE COMMITTEE HAS ALL THE POWERS AND RESPONSIBILITIES CONFERRED UPON THE BOARD BY LAW OR THE ACADMEY'S BYLAWS WITH RESPECT TO THE OPERATIONS OF THE ACADEMY. ITEMS OF BUSINESS CONDUCTED BY THIS COMMITTEE INCLUDE ANY MATTERS AS MAY REQUIRE ATTENTION BETWEEN REGULAR OR SPECIAL MEETINGS OF THE BOARD. THE EXECUTIVE COMMITTEE MAY REQUEST THAT THE BOARD BE CONVENED TO RATIFY ACTIONS AND RECOMMENDATIONS OF THE EXECUTIVE COMMITTEE, IN ACCORDANCE WITH THE ACADEMY'S BYLAWS. FORM 990, PART VI, SECTION A, LINE 6 THE ACADEMY HAS MULTIPLE MEMBERSHIP CATEGORIES: FELLOW (BOARD-CERTIFIED PHYSICIANS), MEMBER (NON-CERTIFIED PHYSICIANS), SCIENTIFIC FELLOW (PHDS WITH ACADEMIC AFFILIATIONS TO OTOLARYNGOLOGY), RESIDENT (RESIDENTS IN OTOLARYNGOLOGY TRAINING), INTERNATIONAL (PHYSICIANS PRACTICING OUTSIDE THE US AND CANADA), INTERNATIONAL RESIDENT, ASSOCIATE (PHYSICIANS AND DENTISTS IN FIELDS ALLIED TO OTOLARYNGOLOGY) AND AFFILIATE (NON-PHYSICIANS). FORM 990, PART VI, SECTION A, LINE 7A BOARD MEMBERS ARE VOTED ON BY MEMBERS OF THE ACADEMY. FORM 990, PART VI, SECTION A, LINE 7B BYLAW CHANGES ARE SUBJECT TO APPROVAL BY THE MEMBERS VIA VOTE. FORM 990, PART VI, SECTION B, LINE 11 AN EMAIL NOTICE CONTAINING A DIRECT LINK TO THE DOCUMENT IS SENT TO ALL BOARD MEMBERS PRIOR TO FILING THE FORM 990 WITH THE IRS. BOARD MEMBERS ARE INVITED TO DIRECT QUESTIONS OR COMMENTS TO ANY OFFICER OR KEY EMPLOYEE. FORM 990, PART VI, SECTION B, LINE 12C INQUIRIES OF INDIVIDUALS REGARDING CONFLICT OF INTEREST ARE PERFORMED AND FOLLOWED UP ON. FORM 990, PART VI, SECTION B, LINE 15A THE ACADEMY ITSELF HAS NO EMPLOYEES; COMPENSATION OF THE EVP/CEO IS SET BY A COMPENSATION SUBCOMMITTEE OF THE EXECUTIVE COMMITTEE OF THE ACADEMY'S RELATED FOUNDATION (THE ACADEMY AND ITS FOUNDATION HAVE COMMON BOARD MEMBERS). THE COMMITTEE UNDERTAKES AN ANNUAL REVIEW OF THE EVP/CEO'S PERFORMANCE. THE COMMITTEE USES AS A GUIDE FOR DETERMINING THE COMPENSATION A FORMAL EVALUATION PROCESS ESTABLISHED BY THE EXECUTIVE COMMITTEE. A SMALL SUBSET OF THE BOARD, INCLUDING THE PRESIDENT, PRESIDENT-ELECT, AND TREASURER, IS USED AS THE COMPENSATION COMMITTEE FOR THE EVP/CEO. DURING THE MOST RECENT CONTRACT RENEWAL IN 2010, THE COMMITTEE USED DATA FROM A CONSULTANT WHO SPECIALIZES IN BENCHMARKING EXECUTIVE COMPENSATION. THE EVP/CEO'S CONTRACT ALSO PROVIDES POLICIES ON ANNUAL INCREASES AND PERFORMANCE BONUSES. THESE ARE BOTH DETERMINED BY THE COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2 THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. AMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD & NECK SURGERY FOUNDATION 1650 DIAGONAL ROAD ALEXANDRIA VA 22314 521219434 ADVANCE THE SCIENCE AND ART OF MEDICINE DC 501(C)(3) LINE 11A, I 1 AM ACADEMY OF OTOLARYNGOLOGY-HED AND NECK SURGERY ENT PAC 1650 DIAGONAL ROAD ALEXANDRIA VA 22314 POLITICAL ACTION COMMITTEE DC 527 1 ENT RESOURCES INC (ENTRI) 1650 DIAGONAL ROAD ALEXANDRIA VA 22314 541996469 PRODUCTS, SERVICES AND INFO TO BENEFIT PROVIDERS VA C 495381 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 AAO-HNS FOUNDATION N 244774 COST AAO-HNS FOUNDATION O 3491772 COST AAO-HNS FOUNDATION Q 1904607 COST