2016-11-14T13:35:50-06:00 2015-12-31 381357951 PLANTE & MORAN PLLC 10 S Riverside Plaza 9th Floor Chicago IL 60606 990 2015-01-01 410793046 AMERICAN ACADEMY OF DERMATOLOGY INC AMER 8473300230 930 EAST WOODFIELD ROAD SCHAUMBURG IL 60173 STEVEN DEBNAR CHIEF FINANCIAL OFFICER 8473300230 2016-11-09 1 David Lowenthal P00378651 3122071040 2016-11-09 2015 2017-02-10 21:41:12Z STEVEN DEBNAR 930 EAST WOODFIELD ROAD SCHAUMBURG IL 60173 46260708 0 X WWW.AAD.ORG X 1959 MN Promoting leadership in dermatology and excellence in patient care through education, research, and advocacy. 24 17 204 738 1453445 436187 6445618 7327632 20685393 23004614 2237529 1404102 2524386 2140312 31892926 33876660 835197 1148903 0 0 14862727 16654987 0 0 1269798 14718101 16308017 30416025 34111907 1476901 -235247 70290412 71736138 22740958 24422992 47549454 47313146 X To assure that dermatologists have access to the highest quality education, research and innovations in the field, and that patients and the public have access to the highest quality medical and surgical dermatologic care and to information regarding prevention, care and treatment of dermatologic conditions. To facilitate the efficient delivery of quality dermatologic care, develop evidence-based clinical guidelines, and promote research in and prevention of diseases of the skin, hair, and nails. 0 0 5585418 484000 19784694 Scientific Assembly - This includes the annual and summer scientific and educational meetings. These meetings are attended by more than 19,000 dermatologists, other physicians, allied medical personnel, and others. These two programs combined present more than 500 individual educational sessions providing results of current research and recent advances in the diagnosis, management and treatment of dermatologic conditions and diseases, and address issues of patient safety, quality of care and practice management improvement. 2261412 333600 Communication & Publications - A range of programs focus on improving public health by providing information about dermatologic conditions and the importance of skin care as a component of overall health. A primary focus is on the goal of reducing mortality from skin cancer in 10 years and its incidence in 30 years. These efforts are carried out through use of patient information pamphlets, a public Web site, public information campaigns, free skin cancer screenings, grants to support building of shade structures, and other activities. Estimates are that more than 1,500,000 individuals have been reached annually through these efforts. 1618701 78045 178084 EDUCATION AND EVALUATION: IN ADDITION TO THE ANNUAL AND SUMMER MEETINGS, AS AN ACCREDITED CONTINUING EDUCATION PROVIDER, THE ACADEMY PRESENTED THREE REGIONAL DERMATOLOGY COURSES AND RESIDENT PRACTICE MANAGEMENT COURSE WHICH HAD COMBINED ATTENDANCE OF ALMOST 1,000. WE ALSO PRODUCE A VARIETY OF ENDURING EDUCATION MATERIALS (IN PRINT, DIGITAL AND WEB BASED FORMATS) AS WELL AS SELF ASSESSMENT PRODUCTS AND MAINTENANCE OF CERTIFICATION SELF-ASSESSMENT PRODUCTS TO SUPPORT DERMATOLOGISTS IN STAYING CURRENT IN PRACTICE AND MEDICAL CERTIFICATION REQUIREMENTS. Journal of the American Academy of Dermatology - the official clinical journal of the Academy is published monthly and features original, peer-reviewed articles on the latest advances in the prevention, diagnosis, and treatment of dermatologic disorders. Its audience includes dermatologists, pediatric dermatologists, dermatologic surgeons, dermatopathologists, residents, and physician assistants and it is indexed in Index Medicus, Science Citation Index, Current Contents/Clinical Medicine, and MEDICINE. It has a circulation of about 17,000. Science, Research, Quality and Practice - Includes the distillation and rating of evidence and dissemination of best practices in the practice of dermatology via clinical practice guidelines, performance measures, and other tools, scientific support for public and health policy messaging and educational programs, and survey research. Provide Academy members with assistance and education related to appropriately running an efficient practice including compliance with relevant regulations, implementation of health information technology, quality improvement, and general practice management issues. 12601906 586858 0 OTHER PROGRAM SERVICES - OVER 200 PROGRAMS 12601906 586858 0 22067437 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 1 1 1 1 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 169 0 1 204 1 1 1 0 0 0 0 0 0 0 0 0 X 24 17 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X X STEVE DEBNAR 8472401128 930 east WOODFIELD ROAD schaumburg IL 60173 Mark Lebwohl MD President of the Board 25.00 0.00 X X 127750 0 0 Abel Torres MD JD President-Elect of the Board 2.00 0.00 X X 30000 0 0 Timothy G Berger MD Vice President of the Board 10.00 0.00 X X 30000 0 0 Kenneth Tomecki MD Vice President-Elect of the Board 1.00 0.00 X X 0 0 0 Suzanne M Olbricht MD Secretary-Treasurer of the Board 15.00 0.00 X X 157750 0 0 Barbara Mathes MD Assistant Secretary-Treasurer of the Board 10.00 0.00 X X 50000 0 0 Brett M Coldiron MD Immediate Past President of the Board 0.25 0.00 X X 40105 1000 0 Elise A Olsen MD Immediate Past Vice President of the Board 1.00 0.00 X X 10000 0 0 Marc D Brown MD Board Director 0.25 0.00 X 0 0 0 Janet G Hickman MD Board Director 0.25 0.00 X 0 0 0 Mark D Kaufmann MD Board Director 0.25 0.00 X 0 0 0 Gary S Wood MD Board Director 0.25 0.00 X 0 0 0 Neal D Bhatia MD Board Director 0.25 0.00 X 0 0 0 Kevin D Cooper MD Board Director 0.50 0.00 X 0 0 0 Shelia Fallon Friedlander MD Board Director 0.25 0.00 X 0 0 0 Jane M Grant-Kels MD Board Director 0.25 0.00 X 0 0 0 Robert T Brodell MD Board Director 0.25 0.00 X 0 0 0 Julie A Hodge MD MPH Board Director 0.25 0.00 X 0 0 0 George J Hruza MD MBA Board Director 0.25 0.00 X 0 0 0 Paul A Storrs MD Board Director 0.25 0.00 X 0 0 0 Stephen H Mandy MD Board Director 0.25 0.00 X 0 0 0 Jack S Resneck Jr MD Board Director 0.50 0.00 X 0 0 0 Kathryn Schwarzenberger MD Board Director 1.00 0.00 X 0 0 0 Carrie L Kovarik MD Board Director 0.25 0.00 X 0 0 0 Robert D Durst Jr MD Board Director 1.00 0.00 X 0 0 0 Elaine C Weiss Executive Director & CEO 50.00 0.00 X 554229 0 66463 Steven J Debnar Chief Financial Officer 42.00 0.00 X 176876 0 50613 Barbara Greenan Senior Director, Advocacy & Policy 47.00 0.00 X 247692 0 32947 Sarah Tancredi Managing Director, Administration 41.00 0.00 X 234967 0 54932 Naheed Ali Senior Director, Community & Corporate Relations 46.00 0.00 X 209678 0 45534 Melanie Tolley Hall Senior Director, Integrated Communications 46.00 0.00 X 196978 0 38714 Cacinda Kuhn Senior Director, Member Engagement 45.00 0.00 X 190529 0 40079 Krista Kauper Senior Director, Consituent Relations 51.00 0.00 X 187019 0 30555 Shawn Friesen Director, Legislative, Political and Grassroots 45.00 0.00 X 173714 0 49291 Timothy Moses Director, Meetings & Conventions 47.00 0.00 X 170701 0 28443 Erik Horn Director, Information Technology 43.00 0.00 X 170048 0 46879 Leslie Lloyd Director, Regulatory & Payment Policy 48.00 0.00 X 161705 0 48076 Lara Lowery Director, Creative & Publishing 43.00 0.00 X 156424 0 27939 Suzanne Lothary Director, Marketing 43.00 0.00 X 146197 0 43730 Debra Gist Senior Director, Education 42.00 0.00 X 136186 0 3747 Christine O'Connor Associate Director, Congressional Policy 49.00 0.00 X 133137 0 27617 Maribeth Laws Director, Advocacy & Policy Operations 50.00 0.00 X 130294 0 8368 Cynthia Del Boccio Director, Executive Office 44.00 0.00 X 129922 0 24937 3951901 1000 668864 51 0 1 0 PSAV 925 Freeport Parkway Suite 100 Coppell TX 75019 Audio Visual Services 1807431 freeman 5040 w roosevelt rd chicago IL 60644 convention services 728564 EXPERIENT INC PO BOX 932320 CLEVELAND OH 44193 OUTSOURCED/CONF. TECH SERVICES 420252 POWERS PYLES SUTTER 1501 M STREET NW WASHINGTON DC 20005 LEGAL SERVICES 318709 Diamond Marketing Solutions 231318 Momentum Place Chicago IL 60689 Fulfillment Services 231344 41 7327632 152277 7327632 ANNUAL NAT'L MEETINGS 900099 18474813 18156066 318747 ROYALTY INCOME 900099 3395103 3395103 ADVERTISING INCOME 541800 1134698 1134698 23004614 1005367 1005367 12547682 12148947 398735 398735 398735 2360590 235101 2125489 2125489 OTHER REVENUE 900099 14823 14823 14823 33876660 20296378 1453445 4799205 470419 470419 389170 389170 289314 289314 4076815 1808172 2268643 9799572 6359728 3048609 391235 847940 531820 273127 42993 1213759 808644 370481 34634 716901 451587 236176 29138 241805 30497 211308 69277 69277 151327 151327 2882170 2626510 229733 25927 499693 489407 2707 7579 1148326 742323 284339 121664 785384 11048 769002 5334 564812 564812 2509398 1486393 655171 367834 5625299 5204800 183869 236630 75677 75677 977442 977442 202126 100759 101367 STAFF EDUCATION 137670 51611 83667 2392 Unrelated Business Inco 135000 135000 RECRUITMENT EXPENSE 131674 131674 MEMBERSHIP DUES 75366 20853 51742 2771 95571 59382 34522 1667 34111907 22067437 10774672 1269798 2722685 3509183 6270160 6294606 2448357 3639650 2314813 1911305 408717 364118 1508488 1420849 23273720 13727688 9555899 9546032 41360926 39261640 3700367 5788755 70290412 71736138 3282533 3695895 10822020 10465715 3500000 3000000 5136405 7261382 22740958 24422992 X 38110313 36081178 7096026 8888853 2343115 2343115 47549454 47313146 70290412 71736138 X -235247 -1452557 1451496 X 0 1 X 1 0 X 2145969 3705750 4117608 6445618 7327632 23742577 19870126 22244068 24305211 23427450 25365204 115212059 22016095 25949818 28422819 29873068 32692836 138954636 0 0 0 138954636 875344 1147721 1079850 1160691 1005367 5268973 875344 1147721 1079850 1160691 1005367 5268973 721695 721695 118229 60857 26837 27136 14823 247882 23731363 27158396 29529506 31060895 33713026 145193186 0.95700 0.95480 0.03630 0.03700 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 20124551 309059 -149476 150945 555849 66508 19510832 19636441 288383 947784 97250 587571 63236 20124551 17196022 377182 2216424 110950 -15263 57500 19636441 14682575 233026 1513981 612888 -1379328 17196022 13564807 350225 -136306 136780 494319 -1534948 14682575 0.85510 0.02480 0.12010 0 0 2549082 2549082 8442243 2806945 5635298 180250 81113 99137 6240835 5709489 531346 5861310 5130141 731169 9546032 DUE FROM RELATED ORGANIZATIONS 5788755 5788755 FAIR VALUE OF DERIVATIVE 251745 DUE TO RELATED ORGANIZATIONS 7009637 7261382 X 32507877 -1452557 235101 -1217456 33725333 151327 151327 33876660 32744185 235101 235101 32509084 151327 1451496 1602823 34111907 Part V, Line 4: The endowment funds are used to support the Academy's Dermatological Academic, Philanthropic, and Strategic program expenses. EACH FUND AND ITS RELATED PURPOSE IS DESCRIBED BELOW. Camp Discovery - Formed in 1993, the Camp Discovery fund is used to support 6 camps each summer. These offer children the opportunity to spend a week among other young people who have similar serious skin conditions, such as their own. Many of the counselors also have serious skin conditions, and can provide support and advice to campers. Excellence in Dermatology - This endowment fund is to ensure the Academy's long-term ability to promote dermatology by supporting AAD Board-approved programs/projects in the areas of public and medical education, health policy, research and humanitarian support. Sulzberger - The Sulzberger Institute for Dermatologic Education is the arm of the American Academy of Dermatology that provides grant support for innovative initiatives in education and technology. Grants typically provide seed funds to help dermatologists begin projects that can eventually improve patient care. World Congress of Dermatology Fund - Established in 1993 from the surplus of the 18th World Congress, the fund is used to support the travel of young people from developing countries to attend the Academy's Annual Meeting, and for young dermatologists from the U.S. to attend meetings in other countries. Lila Gruber Fund - The fund, established by Murray Gruber in 1983, is used to support the annual Marion B. Sulzberger, MD Memorial award and lectureship. Young Investigators Award - The purpose of this fund, established in 1995, is to institute a special award to recognize residents and residency programs which have contributed to research in the field of dermatology. The award will honor outstanding research by dermatologists in training in the U.S. and Canada, and the educational institutions which have supported their efforts. PICMED - The fund, established in 2003, is used exclusively to support the activities of PICMED (Program for Innovative Continuing Medical Education in Dermatology). These activities include creative needs assessment mechanisms, innovative uses of technology, unique approaches to specific subject matter, novel presentation techniques and utilization of existing educational paradigms in new environments. Part X, Line 2: Accounting principles generally accepted in the United States of America require management to evaluate tax positions taken by the Academy and recognize a tax liability if the Academy has taken an uncertain position that more likely than not would not be sustained upon examination by the IRS or other applicable taxing authorities. Management has analyzed the tax positions taken by the Academy and has concluded that as of December 31, 2015 and 2014, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the combined financial statements. The Academy is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. Management believes it is no longer subject to income tax examinations for years prior to 2012. Part XI, Line 2d - Other Adjustments: INVENTORY COSTS NETTED AGAINST REVENUES 235,101. Part XII, Line 2d - Other Adjustments: INVENTORY COSTS NETTED AGAINST REVENUES 235,101. Part XII, Line 4b - Other Adjustments: COMPENSATION ALLOCATED FROM AFFILIATED ORGANZIATION 1,448,576. RETURNED GRANT FUNDS 2,920. 0 Europe (Including Iceland & Greenland) 0 6 European Academy of Dermatology & Venereology Congress Meeting Attendance 30334 North America 0 14 World Congress of Dermatology Meeting Attendance 66883 Central America and the Caribbean 0 1 American Dermatologic Association Meeting Attendance 3455 North America 0 1 Affinity Directors Meeting Meeting Attendance 1054 Sub-Saharan Africa 0 15 Resident International Grants Meeting Attendance 32162 Europe (Including Iceland & Greenland) 0 0 International Programs Grants to recipients located in the region 50000 Central America and the Caribbean 0 0 International Programs and World Congress Scholarships Grants to recipients located in the region 7500 North America 0 0 World Congress Scholarships and Resident Access to Education Grants to recipients located in the region 25200 Middle East and North Africa 0 0 World Congress Scholarships Grants to recipients located in the region 2000 South America 0 0 International Programs and World Congress Scholarships Grants to recipients located in the region 37500 East Asia and the Pacific 0 0 International Programs and World Congress Scholarships Grants to recipients located in the region 12000 South Asia 0 0 International Programs and World Congress Scholarships Grants to recipients located in the region 7000 Sub-Saharan Africa 0 0 International Programs and World Congress Scholarships Grants to recipients located in the region 6400 Middle East and North Africa 0 0 International Programs and World Congress Scholarships Grants to recipients located in the region 6000 0 37 0 0 0 37 216588 70900 287488 Europe (Including Iceland & Greenland) - Albania, Andorra, Austria, Belgium INTERNATIONAL PROGRAMS 35000 CHECK North America international volunteer programs 1825 chECK 1 Central America and the Caribbean 4 7500 Europe (Including Iceland & Greenland) 4 5000 North America 49 25200 Middle East and North Africa 1 2000 Europe (Including Iceland & Greenland) 6 6000 South America 18 37500 South Asia 7 12000 South Asia 5 7000 Sub-Saharan Africa 4 6400 East Asia and the Pacific 4 6000 Europe (Including Iceland & Greenland) 2 2000 Europe (Including Iceland & Greenland) 2 2000 0 0 0 0 0 0 Part I, Line 2: EDUCATIONAL GRANTS ARE PAID OUT AFTER THE ACADEMY RECEIVES THE AGREED UPON EDUCATIONAL RESEARCH FROM THE INSTITUTE. TRAVEL GRANTS ARE PAID AFTER RECEIPTS ARE RECEIVED. 1 Belle Hall Elementary 385 Egypt Rd Mt Pleasant SC 28464 570916845 501(C)(3) 8000 Shade Structure Grant Program Blossomwood Elementary School 1321 Woodmont Dr Huntsville AL 35801 636056043 501(C)(3) 8000 Shade Structure Grant Program Champaign Church of the Brethren 1210 N Neil Street Champaign IL 61820 362167026 501(C)(3) 8000 Shade Structure Grant Program Children's Center for the Visually Impaired 3101 Main Street Kansas City MO 64111 440574397 501(C)(3) 8000 Shade Structure Grant Program Fairfax County Public Schools 1400 Trap Road Vienna VA 22182 540805373 501(C)(3) 8000 Shade Structure Grant Program Fluvanna County High School 1918 Thomas Jefferson Parkway Palmyra VA 22963 271269962 501(C)(3) 8000 Shade Structure Grant Program French Creek Valley Christian Campus 420 North Street Saegertown PA 16433 251385534 501(C)(3) 7676 Shade Structure Grant Program Grand View Elementary School 455 24th St Manhattan Beach CA 90266 956204597 501(C)(3) 8000 Shade Structure Grant Program Great Plains Zoo 805 S Kiwanis Avenue Sioux Falls SD 57104 466015015 501(C)(3) 8000 Shade Structure Grant Program Holy Redeemer School 4902 Berwyn Road College Park MD 20740 520607876 501(C)(3) 7487 Shade Structure Grant Program James Workman Middle School 69300 30th Avenue Cathedral City CA 92234 521527179 501(C)(3) 8000 Shade Structure Grant Program Londonberry School 1800 Bamberger Rd Harrisburg PA 17110 231743706 501(C)(3) 8000 Shade Structure Grant Program Marquerite Montgomery Elementary School 1441 Danbury Drive Davis CA 95618 943400565 501(C)(3) 8000 Shade Structure Grant Program Preschool Extraordinaire 508 S Coker Greenwood AR 72936 710806467 501(C)(3) 8000 Shade Structure Grant Program Schaumburg Park District 235 East Beech Drive Schaumburg IL 60193 352530442 501(C)(3) 9000 Shade Structure Grant Program Ridgetop Elementary 5005 Caswell Ave Austin TX 78751 383766612 501(C)(3) 8000 Shade Structure Grant Program Springfield Public Schools Early Childhood Special Education 2525 W College St Springfield MO 65802 446005539 501(C)(3) 7799 Shade Structure Grant Program Stiles Point Elementary School 883-A Mikell Drive Charleston SC 29412 334070048 501(C)(3) 8000 Shade Structure Grant Program Union County Elementary School 165 Elementary Way Blairsville GA 30512 582073345 501(C)(3) 8000 Shade Structure Grant Program Park & Play Structures 401 Chestnut Street Chattanooga TN 37402 200173831 501(C)(3) 12545 Shade Structure Grant Program USA Shade & Fabric Structures 8505 Chancellor Row Dallas TX 75247 201043872 501(C)(3) 34300 Shade Structure Grant Program Shade Structures PO Box 204691 Dallas TX 75320 463899810 501(C)(3) 10736 Shade Structure Grant Program Cambridge Public Health 350 Main Street Maiden MA 02148 043320571 501(C)(3) 5250 Sulzberger Institute Trustees of the University of Philadelphia P221 Franklin Bldg Philadelphia PA 19104 231352685 501(C)(3) 22000 Sulzberger Institute Oregon Health & Science 3303 SW Bond Ave Portland OR 97239 931176109 501(C)(3) 10000 Sulzberger Institute Louisiana Derm Society 450A S Claiborne Ave New Orleans LA 70112 841629171 501(C)(3) 50000 PICMED Dermatology Foundation 1560 Sherman Ave Evanston IL 60201 046115524 501(C)(3) 40150 Delegates/Other Organizations/AADA Massachusetts Gen Hospital 55 Fruit St Boston MA 02114 042697983 501(C)(3) 10000 Resident Access To Education Mayo Clinic-Rochester 200 First Street SW Rochester MN 55905 416011702 501(C)(3) 9000 Resident Access To Education NYU Langone Medical Center 240 East 38th street New York NY 10015 135562308 501(C)(3) 7500 Resident Access To Education Northwestern University 676 N StClair street Chicago IL 60611 362167817 501(C)(3) 5500 Resident Access To Education Oregon Health & Science University 3303 SW Bond Ave CH15D Portland OR 97239 931176109 501(C)(3) 6000 Resident Access To Education University of Alabama at Birmingham 1720 2nd Ave St Suite 415 CEFH Birmingham AL 35294 636005396 501(C)(3) 5500 Resident Access To Education University of Minnesota 516 Delaware ST SE MMC 98 Minneapolis MN 55455 416007513 501(C)(3) 9000 Resident Access To Education Washington University 660 S Euclid Ave St Louis MO 63110 430653611 501(C)(3) 8000 Resident Access To Education 35 Residents International Grants 14 16250 International Volunteer Programs/AADA 5 7300 US Grants Residents 663 331500 World Congress Scholarships(june) 20 24000 Clinical Guidelines Cmte 2 6000 Part I, Line 2: If an organization receives a grant for a Shade structure, the organization, before it receives A check, must provide the Academy with bid documents from a contractor, a member of the association attends the ground breaking ceremony, and the organization provides the Academy with pictures of the completed structure. Educational grants are paid out after the Academy receives the agreed upon educational research from the institute. X X X 1 1 X X X X X 1 0 0 0 0 1 1 1 1 0 Suzanne M Olbricht MD Secretary-Treasurer of the Board 157750 0 0 0 0 0 0 0 0 0 157750 0 0 0 Elaine C Weiss Executive Director & CEO 436554 0 106253 0 11422 0 38506 0 27957 0 620692 0 106253 0 Steven J Debnar Chief Financial Officer 167293 0 8389 0 1194 0 20410 0 30203 0 227489 0 8389 0 Barbara Greenan Senior Director, Advocacy & Policy 230250 0 16789 0 653 0 27533 0 5414 0 280639 0 11789 0 Sarah Tancredi Managing Director, Administration 213899 0 13172 0 7896 0 25910 0 29022 0 289899 0 11172 0 Naheed Ali Senior Director, Community & Corpora 196874 0 11772 0 1032 0 23740 0 21794 0 255212 0 11772 0 Melanie Tolley Hall Senior Director, Integrated Communic 185669 0 10730 0 579 0 18298 0 20416 0 235692 0 10730 0 Cacinda Kuhn Senior Director, Member Engagement 181565 0 7770 0 1194 0 13050 0 27029 0 230608 0 0 0 Krista Kauper Senior Director, Consituent Relation 172827 0 8840 0 5352 0 20303 0 10252 0 217574 0 8840 0 Shawn Friesen Director, Legislative, Political and 164766 0 8708 0 240 0 20061 0 29230 0 223005 0 8708 0 Timothy Moses Director, Meetings & Conventions 160568 0 9390 0 743 0 18936 0 9507 0 199144 0 9390 0 Erik Horn Director, Information Technology 159796 0 9737 0 515 0 19467 0 27412 0 216927 0 6737 0 Leslie Lloyd Director, Regulatory & Payment Polic 148454 0 12837 0 414 0 18737 0 29339 0 209781 0 7837 0 Lara Lowery Director, Creative & Publishing 147855 0 8209 0 360 0 17512 0 10427 0 184363 0 8209 0 Suzanne Lothary Director, Marketing 135482 0 10475 0 240 0 16789 0 26941 0 189927 0 8475 0 Christine O'Connor Associate Director, Congressional Po 127563 0 5106 0 468 0 15165 0 12452 0 160754 0 0 0 Cynthia Del Boccio Director, Executive Office 122458 0 6777 0 687 0 14522 0 10415 0 154859 0 6777 0 Part I, Line 1a First Class is allowed for the President, Secretary-Treasurers, and Executive Director/CEO, by written policy, on flights of three hours or more. Travel for companions, by written policy, for the President, Secretary-Treasurers, and Executive Director/CEO, may be allowed when traveling as an official representative of the Academy for which the expected length of stay is three days or longer, or at which the social activities are a strong component of the meeting. On occasion, recognized staff receive gift cards with values ranging from $25-$200, the value of these cards are gross-up and included in the employees W-2. Part I, Line 4a Debra Gist received severance payments in the amount of $94,222.82. Part I, Line 6 Incentive Compensation Program for all levels of staff have a goal on reaching target for operating-income. Part I, Line 7 The organization provides spot bonuses for accomplishment of significant work/items: The following bonuses were approved by the Executive Director: Barbara Greenan - Superstar Bonus $5,000 Erik Horn - Superstar Bonus $3,000 Leslie S. Lloyd - Superstar Bonus $5,000 Suzanne Lothary - Superstar Bonus $2,000 Sarah Tancredi - Superstar Bonus $2,000 Part I, Line 8 INITIAL CONTRACT EXCEPTION IN FORCE FOR CONTRACT WITH EXECUTIVE DIRECTOR. THE ORGANIZATION FOLLOWS STRINGENT GUIDELINES DESIGNED TO CREATE A REBUTTABLE PRESUMPTION OF REASONABLENESS FOR APPLICABLE COMPENSATION ARRANGEMENTS. SEE SCHEDULE O EXPLANATION APPLICABLE TO PART VI LINE 15 FOR FURTHER EXPLANATION OF THE COMPENSATION PROCESS. X 15 152277 Cost - Web & Vendor 0 1 0 Form 990, Part VI, Section A, line 6 AAD is an association representing approximately 19,000 Dermatologists, who become members of the Academy. The Academy has ten classes of members but only Fellows and Life and Honorary members who were Fellows are eligible to vote and serve in any elective office. Members annually elect the President to a three year term as President elect, President, and Past President and Vice-President to two year term as Vice-President elect and Vice President. Additionally, members also elect four Directors to serve a four year term. Proposed amendments to the by-laws by the Board of Directors are subject to approval by the membership. Form 990, Part VI, Section A, line 7a SEE EXPLANATION OF LINE 6 ABOVE. Form 990, Part VI, Section A, line 7b SEE EXPLANATION OF LINE 6 ABOVE. Form 990, Part VI, Section B, line 11 The Board retained the services of an independent CPA firm to prepare the organization's Form 990. Management reviews the completed Form 990 and provides a full copy to the Board of Directors prior to filing. The return is posted on a secured web site for their review. Board members are given a reasonable period of time to contact either management or the CPA firm with any questions. Form 990, Part VI, Section B, line 12c Officers, directors, committee members, editors, speakers, and key employees are annually required to complete a conflict of interest disclosure statement as a precursor to their service to the organization. Detailed below is the Disclosure process: Disclosure Process 1. The individuals covered are required to electronically submit a disclosure statement acknowledging a duty to serve the Academy in good faith and with undivided loyalty. These individuals are to describe all personal or professional circumstances which might create a potential conflict of interest with the interests of the Academy. Accompanying this policy statement as Exhibit A is a sample copy of such a disclosure statement. Members who do not submit a yearly conflict of interest disclosure, may lose the right to hold office and serve in the governance structure and, except in unusual circumstances approved in advance by the Board of Directors, to participate in Academy programs as a faculty member, presenter, or scientific exhibit contributor. Review Process 1.Officers, directors, chairs and members of councils, committees, and task forces, the editors of JAAD and senior staff will submit their statements directly onto the academy website with oversight by the Secretary Treasurer. 2.The statements are provided at every committee meeting to all committee members. If necessary, the chairmen will forward those that appear to have conflicts which could prevent them from serving to the Secretary-Treasurer with any relevant observations or recommendations. 3.The Secretary-Treasurer will review all statements submitted for further review and if necessary will forward to the Ethics Committee, while at the same time informing the Board of Directors of any conflicts that appear especially significant. If further clarification is needed the Ethics Committee will utilize the Academy Oversight Committee. 4.The Ethics Committee will review and initiate any request for further information and promptly prepare a report to the Secretary-Treasurer regarding its findings. The Secretary-Treasurer will report to the Board of Directors on any items found by the Committee to be of special significance. All electronic disclosure statements will be retained on the Academy server. They will be available electronically for review by members of the Board of Directors and staff, and upon request by Academy members. They will be available to the council, committee and task force members to review prior to all conference calls and meetings. All members filing an annual disclosure statement will be obligated to promptly update any change in circumstances which might give rise to an actual or potential conflict of interest. Members also should verbally disclose and update their conflict of interest form for any relevant conflicts that may occur during a conference call or meeting that do not already appear on the disclosure form. Chairs of councils, committee and task forces are required to include in the summation report any conflict of interests that have been expressed by a member during a meeting or conference call. Form 990, Part VI, Section B, line 15 The Executive Director: It has been standard practice for the Academy to comply with the Internal Revenue Codes Section 4958, following best practices for ensuring compliance and establishing a rebuttable presumption of reasonableness as it relates to compensation. The Academy uses fair market value to determine cash and non-cash compensation for the Executive Director/CEO. Fair market value is based on market data. Market data may be collected from a variety of methods, including published or off the shelves surveys, surveys managed by third party consultants, compensation analysis performed by third party consultants, and surveys managed by a group of organizations. The competitive market is typically defined in terms of revenue and company size. To define competitive market the Academy considers the following as valid resources for comparable market data:Companies with similar operating budget; Companies with roughly same number of employees; and Companies who operate under like circumstances. Compensation decisions are recommended by the Compensation Committee that consists of Independent Officers of the Board of Directors and approved by the Board of Directors. The decisions are based on analysis of comparable Market Data. Other officers or key employees of the organization: Key employees of the organization's compensation are determined in the same fashion of the Executive Director although their compensation decisions are approved by the Executive Director. Form 990, Part VI, Section C, line 19 The Academy's governing documents and conflict of interest policies are available on the Academy's web site for the membership and public to view. The Annual Financial Statements are published in Dermatology World, the Academy's magazine, and are available on GuideStar. Form 990, Part XI, line 9: Officer compensation allocated to AADA 1,448,576. RETURNED GRANT FUNDS 2,920. AMERICAN ACADEMY OF DERMATOLOGY ASSOCIATION INC 930 EAST WOODFIELD RD SCHAUMBURG IL 60173 364367987 TO REPRESENT THE INTERESTS OF DERMATOLOGISTS AND THEIR PATIENTS. IL 501(C)(6) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0