2015-04-27T14:41:48-05:00 2014-08-31 410746749 CLIFTONLARSONALLEN LLP 4250 N FAIRFAX DRIVE SUITE 1020 ARLINGTON VA 22203 990 2013-09-01 366000057 AMERICAN BOARD OF ORTHOPAEDIC SURGERY AMER 9199297103 400 SILVER CEDAR COURT CHAPEL HILL NC 27514 SHEPARD R HURWITZ MD EXECUTIVE DIRECTOR 9199297103 2015-04-22 1 NATHANIEL BARTHOLOMEW P00007511 5712279500 2013 2016-02-25 16:41:14Z SHEPARD R HURWITZ MD 400 SILVER CEDAR COURT CHAPEL HILL NC 27514 10369645 0 X WWW.ABOS.ORG X 1934 DE SERVING THE BEST INTERESTS OF THE PUBLIC AND OF THE MEDICAL PROFESSION BY ESTABLISHING EDUCATIONAL STANDARDS FOR ORTHOPAEDIC RESIDENTS AND BY EVALUATING THE INITIAL AND CONTINUING QUALIFICATIONS AND COMPETENCE OF ORTHOPAEDIC SURGEONS. 20 20 12 338 0 0 0 0 6036935 6803211 1296984 1213387 194194 197396 7528113 8213994 0 302153 0 0 1742204 1775497 0 0 0 4985017 5063206 6727221 7140856 800892 1073138 29122168 33952665 1974534 2427121 27147634 31525544 TO SERVE THE BEST INTERESTS OF THE PUBLIC AND OF THE MEDICAL PROFESSION BY ESTABLISHING EDUCATIONAL STANDARDS FOR ORTHOPAEDIC RESIDENTS AND BY EVALUATING THE INITIAL AND CONTINUING QUALIFICATIONS AND COMPETENCE OF ORTHOPAEDIC SURGEONS. 0 0 INITIAL CERTIFICATION OF ORTHOPAEDIC SURGEONSEDUCATIONAL REQUIREMENTS, PEER REVIEW, A WRITTEN EXAM, AND AN ORAL EXAM ARE REQUIRED TO BECOME BOARD CERTIFIED. THERE WERE 713 NEW ORTHOPAEDIC SURGEONS CERTIFIED IN THE FISCAL YEAR ENDED IN 2014. CANDIDATES WHO PASS THE CERTIFICATION REQUIREMENTS BECOME A "DIPLOMATE" OF THE ORGANIZATION FOR 10 YEARS. THE ORGANIZATION HAS A TOTAL 28,103 DIPLOMATES DURING THE MOST RECENTLY COMPLETED FISCAL YEAR. RECERTIFICATION OF SUB-SPECIALTY SPORTS AND HAND EVERY TEN YEARS:EVERY 10 YEARS DIPLOMATES MUST MEET ADDITIONAL EDUCATIONAL REQUIREMENTS, PEER REVIEW, AND AN EXAM TO RECERTIFY. THERE WERE 1,395 DIPLOMATES TO RECERTIFY IN THE FISCAL YEAR ENDING IN 2014. SUBSPECIALTY CERTIFICATION:CERTIFICATION OF SPORTS AND HAND SUB-SPECIALTY CERTIFICATES AFTER INITIAL CERTIFICATION IS COMPLETE. 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 70 0 12 1 0 0 0 0 0 0 X 20 20 0 0 0 0 0 0 0 1 1 1 0 1 1 1 1 0 0 1 0 0 X KATHY CLARK CONTROLLER 9199297103 400 SILVER CEDAR COURT CHAPEL HILL NC 27514 JUDITH F BAUMHAUER MD PRESIDENT 2.00 X X 2176 0 0 MICHELLE A JAMES MD VICE PRESIDENT 2.00 X X 1876 0 0 SANFORD E EMERY MD MBA TREASURER 2.00 X X 3843 0 0 E DIRECTOR 2.00 X 3727 0 0 ANNUNZIATO AMENDOLA MD DIRECTOR 2.00 X 0 0 0 JAMES E CARPENTER MD DIRECTOR 2.00 X 2161 0 0 J LAWRENCE MARSH MD DIRECTOR 2.00 X 2863 0 0 DAVID F MARTIN MD DIRECTOR 2.00 X 729 0 0 REGIS J O'KEEFE MD DIRECTOR 2.00 X 448 0 0 JAMES R ROBERSON MD DIRECTOR 2.00 X 1286 0 0 TERRY L THOMPSON MD DIRECTOR 2.00 X 0 0 0 THOMAS P VAIL MD DIRECTOR 2.00 X 1858 0 0 DOUGLAS W LUNDY MD DIRECTOR 2.00 X 0 0 0 CHARLES L SALTZMAN MD DIRECTOR 2.00 X 0 0 0 JEFFREY D ANGLEN MD SENIOR DIRECTOR 2.00 X 1783 0 0 MARYBETH EZAKI MD SENIOR DIRECTOR 2.00 X 408 0 0 JAMES KASSER MD SENIOR DIRECTOR 2.00 X 1940 0 0 JOHN SEILER MD SENIOR DIRECTOR 2.00 X 0 0 0 JOHN H ERBLAND PUBLIC MEMBER DIRECTOR 2.00 X 5495 0 0 PETER MURRAY MD DIRECTOR ELECT 2.00 X 931 0 0 TERRANCE PEABODY MD DIRECTOR ELECT 2.00 X 443 0 0 SHEPARD R HURWITZ MD EXECUTIVE DIRECTOR 40.00 X 452519 0 103424 PATRICIA SCALF EXAMS MANAGER 40.00 X 119703 0 46914 604189 0 150338 2 0 1 0 NATIONAL BOARD OF MEDICAL EXAMINERS 3750 MARKET STREET PHILADELPHIA PA 19104 EXAM SERVICES 970158 WEB DATA SOLUTIONS 930 YORK ROAD SUITE 102 HINSDALE IL 60521 IT SERVICES 815728 AMERICAN BOARD OF MEDICAL SPECIALTIES 222 NORTH LASALLE STREET SUITE 150 CHICAGO IL 60601 PROFESSIONAL BOARD 212452 VEDDER PRICE 222 NORTH LASALLE STREET CHICAGO IL 60601 LEGAL COUNSEL 187941 4 EXAMS AND APPLICATION 900099 6803211 6803211 6803211 691798 691798 197396 0 197396 197396 197396 2677240 2153054 2597 524186 -2597 521589 521589 8213994 6803211 0 1410783 302153 531403 811941 172655 186543 72955 187941 33832 122871 320745 236889 201999 49585 832551 345471 91086 NBME CONTRACT 970158 SCRIBE SUPPORT 494983 SITE EXPENSE 400651 EXAMINERS 347048 427396 7140856 2661855 2312071 292074 660210 4788371 2736885 1899348 2051486 24132030 28757101 91709 122131 45152 49666 29122168 33952665 1378256 1514637 0 98744 488475 675515 107803 138225 1974534 2427121 X 27147634 31525544 27147634 31525544 29122168 33952665 1073138 3304772 0 X 0 1 X 1 0 235412 235412 2458746 1446778 1011968 931161 537798 393363 1163052 752309 410743 2051486 DEPOSITS 16094 DEFERRED COMPENSATION 122131 138225 X 12617010 5619000 5619000 6998010 1215984 1215984 8213994 12636985 5619000 5619000 7017985 122871 122871 7140856 PART X, LINE 2: THE ORGANIZATION ADOPTED A POLICY THAT CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE POLICY PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PRINCIPLES FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE RECOGNIZED. THE IMPLEMENTATION OF THIS POLICY HAD NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. THE TAX RETURNS FOR THE FISCAL YEARS ENDED 2011 THROUGH 2013 ARE OPEN TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES. PART XI, LINE 4B - OTHER ADJUSTMENTS: NET INVESTMENT INCOME 1,215,984. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES EXPENSES 122,871. 1 MONTEFIORE MEDICAL CENTER 1250 WATERS PLACE BRONX NY 10461 131740114 501(C)(3) 11351 N/A N/A INNOVATIONS IN A RESIDENT SURGICAL EDUCATION DARTMOUTH-HITCHCOCK MEDICAL CENTER TRUSTEES OF DARTMOUTH COLLEGE 11 ROPE FERRY ROAD SUITE 6210 HANOVER NH 03755 020222111 501(C)(3) 12460 N/A N/A UTILIZING INTRA-PROCEDURAL INTERACTIVE VIDEO CAPTURE WITH GOOGLE GLASS FOR IMMEDIATE PROCEDURAL RESIDENT COACHING WEST VIRGINIA UNIVERSITY RESEARCH CORP PO BOX 6845 MORGANTOWN WV 26505 550665758 501(C)(3) 12476 N/A N/A GRANT TO FOSTER INNOVATIONS IN RESIDENT SURGICAL EDUCATION ARTHROSCOPY SKILLS RUSH UNIVERSITY MEDICAL CENTER 1653 WEST CONGRESS PARKWAY CHICAGO IL 60612 362174823 501(C)(3) 12500 N/A N/A THE EFFECT OF SIMULATOR TRAINING ON CLINICAL PERFORMANCE WAKE FOREST UNIVERSITY HEALTH SCIENCES MEDICAL CENTER BOULEVARD WINSTONSALEM NC 27157 228491999 501(C)(3) 12500 N/A N/A DEVELOPING A MOBILE APPLICATION FOR IMPROVING RESIDENT CLASSIFICATION OF ACETABULAR FRACTURES REGENTS OF UNIVERSITY OF MINNESOTA 2221 UNIVERSITY AVENUE SE SUITE 100 100 MINNEAPOLIS MN 55414 416007513 501(C)(3) 12500 N/A N/A DOES TRAINING ON A SIMULATOR IMPROVE PERFORMANCE IN KNEE ARTHROSCOPY IN INTERNS STATE UNIVERSITY OF IOWA 105 JESSUP HALL IOWA CITY IA 52242 426004813 501(C)(3) 12500 N/A N/A TRANSFERABILITY OF WIRE NAVIGATION KILLS GAINED USING A RADIATION-FREE SIMULATOR BAYLOR COLLEGE OF MEDICINE PO BOX 201361 HOUSTON TX 77030 741613878 501(C)(3) 12500 N/A N/A REGENTS UNC DAVIS SCHOOL OF MEDICINE 4860 Y STREET SUITE 3800 SACRAMENTO CA 95817 946036494 501(C)(3) 7825 N/A N/A THE ROLE OF HIGH DEFINITION VIDEO IN RESIDENT EDUCATION FOR DISTAL CADIUS FRACTURE FIXATION REGENTS OF UNIVERSITY OF MICHIGAN 1029 VAUGHN STREET ANN ARBOR MI 48104 386006309 501(C)(3) 12432 N/A N/A EVALUATING TECHNIQUES OF INTERNAL FIXATION USING SURGICAL SIMULATION ARTHROSCOPY ASSOCIATION OF NORTH AMERICA 6300 NORTH RIVER ROAD SUITE 600 ROSEMONT IL 60018 363166049 501(C)(3) 5000 N/A N/A RESEARCH WEB DATA SOLUTIONS INC 4499 SHUBERT DRIVE LOVLAND CO 80538 N/A 6055 N/A N/A RESEARCH FOUNDATION FOR ORTHOPEDIC RESEARCH AND EDUCATION 2222 EAST HIGHLAND AVENUE SUITE 300 300 PHOENIX AZ 85016 200574111 501(C)(3) 5500 N/A N/A RESEARCH NATIONAL BOARD OF MEDICAL EXAMINERS 3750 MARKET STREET PHILADELPHIA PA 19104 231352238 501(C)(3) 39400 N/A N/A RESEARCH DATA FROM ABOS EXAMS 13 1 PART I, LINE 2: THE BOARD OF DIRECTORS DECIDED WHICH PROPOSAL WOULD RECEIVE RESEARCH GRANTS UP TO A MAXIMUM OF $25,000 BASED ON THE ORTHOPAEDIC RESEARCH STATED IN THE PROPOSAL. THESE ARE ONE TIME GRANTS THAT ARE PAID TO THE RESEARCH INSTITUTION WITH AN INITIAL DEPOSIT AND A FINAL PAYMENT UPON RECEIVING THE COMPLETED RESEARCH DOCUMENTS. X X X 1 1 X X X X 0 0 0 SHEPARD R HURWITZ MD EXECUTIVE DIRECTOR 423563 0 5000 0 23956 0 59250 0 44174 0 555943 0 0 0 PATRICIA SCALF EXAMS MANAGER 117097 0 1715 0 891 0 29692 0 17222 0 166617 0 0 0 PART I, LINE 1A MEMBERS OF THE GOVERNING BODY HAVE THE ABILITY TO INCLUDE A SPOUSE TO TRAVEL WITH THEM FOR VARIOUS ORGANIZATION BUSINESS. THESE AMOUNTS ARE DEEMED GROSS-UP PAYMENTS AND INCLUDED IN THE TAXABLE INCOME OF THE APPROPRIATE INDIVIDUALS. IN ADDITION, THE ORGANIZATION MAY HAVE INSTANCES WHEN FIRST-CLASS TRAVEL IS NECESSARY FOR CONDUCTING ORGANIZATION BUSINESS. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE CONSISTS OF THE FOLLOWING BOARD MEMBERS: THE PRESIDENT AS CHAIR, THE IMMEDIATE PAST-PRESIDENT, PRESIDENT-ELECT, SECRETARY, AND TREASURER. THE EXECUTIVE DIRECTOR SERVES AS AN EX-OFFICIO MEMBER WITHOUT VOTE. THE EXECUTIVE COMMITTEE HAS THE AUTHORITY TO CARRY OUT THE BUSINESS AND FUNCTIONS OF THE ORGANIZATION BETWEEN MEETINGS OF THE BOARD AND REPORTS ANY SUCH ACTIONS TO THE BOARD FOR RATIFICATION. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION CONTRACTS WITH A PUBLIC ACCOUNTING FIRM TO PREPARE THE FORM 990 BASED ON INFORMATION OBTAINED FROM MANAGEMENT AND DURING THE FINANCIAL AUDIT. ONCE THE DRAFT IS AVAILABLE, IT IS REVIEWED BY MANAGEMENT AND THE AUDIT COMMITTEE. THE FORM 990 IS THEN PROVIDED TO THE GOVERNING BODY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL ABOS DIRECTORS, EXECUTIVE DIRECTOR AND CHIEF OPERATING OFFICER ARE COVERED BY CONFLICT OF INTEREST POLICY. THE EXECUTIVE DIRECTOR AND THE EXECUTIVE COMMITTEE REVIEW THE FORMS. EACH DIRECTOR AND THE TWO EXECUTIVES MUST FILL OUT A FORM ANNUALLY, AND ARE OBLIGED TO REPORT SIGNIFICANT CHANGES TO THE ABOS STAFF IN WRITING. THE FORMS ARE STORED ON A PASSWORD PROTECTED LOCATION ON THE ABOS WEBSITE THAT IS AVAILABLE FOR ALL THE DIRECTORS. THE PERSON WHO IS CONFLICTED IS EXCUSED FROM DISCUSSION AND DECISIONS CONCERNING THE CONFLICTED PARTY. ANY CONFLICT WILL BE DOCUMENTED IN THE MEETING MINUTES OF THE FULL BOARD. FORM 990, PART VI, SECTION B, LINE 15A WITH THE HIRING OF THE EXECUTIVE DIRECTOR, AN OUTSIDE EMPLOYMENT AGENCY WAS UTILIZED FOR THE PROCESS. THE EXECUTIVE COMMITTEE OF THE ORGANIZATION DETERMINES ANY COMPENSATION AND BONUS ADJUSTMENTS EACH YEAR BASED ON PERFORMANCE AND OTHER BENCHMARKING. THE PROCESS WAS LAST UNDERTAKEN IN SEPTEMBER, 2014 FOR THE EXECUTIVE DIRECTOR, S. HURWITZ. FOR ALL OTHER EMPLOYEES, THE EXECUTIVE DIRECTOR DETERMINES THE COMPENSATION LEVEL BASED ON COMPARABILITY DATA AND CURRENT PERFORMANCE. THIS PROCESS WAS ALSO LAST UNDERTAKEN IN SEPTEMBER, 2014. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII JUDITH F. BAUMHAUER, MD - 601 ELMWOOD AVENUE, BOX 665, ROCHESTER, NY 14642. MICHELLE A. JAMES, MD - 2425 STOCKTON BOULEVARD, SACRAMENTO, CA 95817. SANFORD E. EMERY, MD, MBA - PO BOX 1996, MORGANTOWN, WV 26506. E - 6620 FLY ROAD, SYRACUSE, NY 13202. ANNUNZIATO AMENDOLA, MD - 200 HAWKINS DRIVE, IOWA CITY, IA 52242. JAMES E. CARPENTER, MD - 2912 TAUBMAN CENTER; 1500 EAST MEDICAL CENTER DRIVE ANN ARBOR, MI 48109. J. LAWRENCE MARSH, MD - 200 HAWKINS DRIVE, IOWA CITY, IA 52242. DAVID F. MARTIN, MD - 131 MILLER STREET, WINSTON-SALEM, NC 27103. REGIS J. O'KEEFE, MD - 601 ELMSWOOD AVENUE, BOX 665, ROCHESTER, NY 14642. JAMES R. ROBERSON, MD - 59 EXECUTIVE PARK SOUTH, SUITE 2000, ATLANTA, GA 30329. TERRY L. THOMPSON, MD - 2041 GEORGIA AVENUE, NW, WASHINGTON, DC 20060. THOMAS P. VAIL, MD - 500 PARMASSUS AVENUE, MU 320 W, SAN FRANCISCO, CA 94143. DOUGLAS W. LUNDY, MD - 61 WHITCATCHER STREET, SUITE 1100, MARIETTA, GA 30060. CHARLES L. SALTZMAN, MD - 590 WAKARA WAY, SALT LAKE CITY, UT 84108. JEFFREY D. ANGLEN, MD - 541 CLINICAL DRIVE, SUITE 600, INDIANAPOLIS, IN 46202-5111. MARYBETH EZAKI, MD - 2222 WELBORN STREET, DALLAS, TX 75219. JAMES KASSER, MD - 300 LONGWOOD AVENUE, CLEVELAND, OH 44106. JOHN SEILER, MD - 2601 PEACHTREE ROAD, ATLANTA, GA 30309. JOHN H. ERBLAND - 40 VINEYARD HILL, FAIRPORT, NY 14450. PETER MURRAY, MD - 4500 SAN PABLO ROAD, JACKSONVILLE, FL 32224. TERRANCE PEABODY, MD - 676 NORTH SAINT CLARK, SUITE 13540, CHICAGO, IL 60611.