2014-05-02T11:32:13-05:00 2013-06-30 521855942 TATE AND TRYON 2021 L STREET NW SUITE 400 WASHINGTON DC 20036 990 2012-07-01 521219434 AMERICAN ACADEMY OF OTOLARYNGOLOGY - HEAD & NECK SURGERY FOUNDATION AMER 7038364444 1650 DIAGONAL ROAD ALEXANDRIA VA 22314 DAVID R NIELSEN MD 7038364444 2014-05-02 1 DEBORAH G KOSNETT P00290720 2022932200 2012 2015-11-30 17:44:51Z DAVID R NIELSEN MD 1650 DIAGONAL ROAD ALEXANDRIA VA 22314 22411423 0 X WWW.ENTNET.ORG X 1981 DC ADVANCE THE ART & SCIENCE OF OTOLARYNGOLOGY-HEAD & NECK SURGERY THROUGH EDUCATION, RESEARCH AND TRAINING. 17 0 82 470 0 0 1645575 1189516 9050325 8499361 267681 1240382 1274410 1116796 12237991 12046055 377485 372654 0 0 3536790 4032133 0 0 690592 5796547 5595623 9710822 10000410 2527169 2045645 34392829 34995325 26372216 23793751 8020613 11201574 X ADVANCE THE ART & SCIENCE OF OTOLARYNGOLOGY-HEAD & NECK SURGERY THROUGH EDUC, RESEARCH & LEARNING 0 0 2416568 1090277 EDUCATION: THE FOUNDATION PRESENTS A WIDE RANGE OF EDUCATIONAL INITIATIVES AIMED AT INCREASING THE QUALITY OF PATIENT OUTCOMES THROUGH SUPPORTING KNOWLEDGEABLE, COMPETENT, AND PROFESSIONAL PHYSICIANS. THE FOUNDATION CURATES THE KNOWLEDGE BASE AND CONDUCTS THE PLANNING AND PRODUCTION OF EDUCATIONAL ACTIVITIES FOR THE SPECIALTY AS WELL AS OUTREACH EFFORTS FOR NON-OTOLARYNGOLOGIST PHYSICIANS AND ALLIED HEALTH PROFESSIONALS. EDUCATION IS CONDUCTED THROUGH LIVE EVENTS, SUBSCRIPTION PRODUCTS, ONLINE ACTIVITIES, PRINT AND E-PUBLICATIONS AND MOBILE APPLICATIONS. 3149597 7409084 ANNUAL MEETING: THE AAO-HNSF ANNUAL MEETING & OTO EXPO IS THE WORLD'S MOST PRESTIGIOUS GATHERING OF OTOLARYNGOLOGIST-HEAD AND NECK SURGEONS. THE MEETING AND OTO EXPO IS ATTENDED BY OVER 6,000 GLOBAL PHYSICIANS, RESEARCHERS AND ALLIED HEALTH PROFESSIONALS WHO GATHER TO REVIEW THE LATEST RESEARCH, COLLABORATE WITH COLLEAGUES AND PARTICIPATE IN HUNDREDS OF HOURS OF OTOLARYNGOLOGY-HEAD AND NECK SPECIFIC CONTINUING MEDICAL EDUCATION. 1090743 332654 RESEARCH: PROMOTE RESEARCH IN CURRENT TOPICS IN OTOLARYNGOLOGY AND ADMINISTER A RESEARCH GRANT PROGRAM FOR RESIDENTS AND PRACTITIONERS. 466914 40000 GUIDELINES AND QUALITY IMPROVEMENT: THROUGH THE DEVELOPMENT OF EVIDENCE-BASED GUIDANCE THAT IS UPDATED AND REFINED BASED ON FEEDBACK FROM OUR CURRENT PRACTICE DATA, WE EMPOWER PHYSICIANS TO PROVIDE THE BEST PATIENT CARE. 295204 4670 COMMUNICATIONS: PUBLICATIONS OF OTOLARYNGOLOGY _ HEAD AND NECK SURGERY, THE LATEST PEER-REVIEWED ARTICLES, LITERATURE REVIEWS, AND CASE REPORTS ON DEVELOPMENTS IN THE TREATMENT OF THE EAR, NOSE, THROAT, AND RELATED STRUCTURES OF THE HEAD AND NECK. SPECIAL SUPPLEMENTS INCLUDE CLINICAL PRACTICE GUIDELINES AND OTHER TOPICS. 762118 40000 4670 7419026 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 1 77 0 1 82 1 0 0 0 0 0 0 0 0 0 0 X 17 0 0 0 1 0 1 1 1 1 1 0 0 1 1 0 1 1 1 1 0 0 AL AK AZ AR CA CO CT DC FL GA HI IL KS KY ME MD MA MI MN MS MO NH NJ NM NY NC ND OH OK OR PA RI SC TN UT VA WA WV WI X CARRIE HANLON SR DIR FIN OPS 7038364444 1650 DIAGONAL ROAD ALEXANDRIA VA 22314 JAMES L NETTERVILLE MD 5.00 5.00 X X 0 12500 0 RICHARD W WAGUESPACK MD 5.00 5.00 X X 0 0 0 RODNEY P LUSK MD 2.00 2.00 X 0 5742 0 J GAVIN SETZEN MD 5.00 5.00 X X 0 0 0 SUJANA CHANDRASEKHAR MD 2.00 2.00 X 0 9000 0 DENNIS LAFRENIERE MD 5.00 5.00 X 0 3000 0 PETER ABRAMSON MD 5.00 5.00 X 0 0 0 J PABLO STOLOVITZKY MD 2.00 2.00 X 0 0 0 JAMES A STANKIEWICZ MD 2.00 2.00 X 0 0 0 JERRY SCHREIBSTEIN MD 2.00 2.00 X 0 0 0 BRADLEY MARPLE MD 2.00 2.00 X 0 0 0 PAUL T FASS MD 2.00 2.00 X 0 0 0 MICHAEL G STEWART MD 2.00 2.00 X 0 0 0 DUANE J TAYLOR MD 2.00 2.00 X 0 0 0 KATHLEEN YAREMCHUK MD 2.00 2.00 X 0 0 0 J REGAN THOMAS MD 2.00 2.00 X X 0 0 0 JOHN W HOUSE MD 2.00 2.00 X X 0 0 0 MICHAEL D SEIDMAN 2.00 2.00 X X 0 0 0 DEBARA L TUCCI MD 2.00 2.00 X 0 0 0 STEPHEN J CHADWICK MD 2.00 2.00 X 0 0 0 SAMUEL H SELESNICK MD 2.00 2.00 X 0 0 0 ALBERT L MERATI MD 2.00 2.00 X 0 0 0 SUKGI S CHOI MD 2.00 2.00 X 0 0 0 DAVID R NIELSEN MD 20.00 20.00 X 255227 255227 84084 BRENDA S HARGETT CPA 20.00 20.00 X 138789 138789 42056 MARY PAT CORNETT 40.00 0.00 X 184400 0 29306 JEAN BRERETON 8.00 32.00 X 35988 143955 24584 CARRIE HANLON 20.00 20.00 X 71215 71215 20910 KATHERINE LEWIS 8.00 32.00 X 27625 110497 11531 PAMELA WOOD 20.00 20.00 X 63434 63434 19358 ERIK HARTMAN 20.00 20.00 X 62336 62336 19206 LYNN FRISCHKORN 20.00 20.00 X 59043 59043 13182 898057 934738 264217 3 0 1 0 ACT PO BOX 4072 IOWA CITY IA 522434072 EXAM GRADING 562784 PSAV NATIONAL OPERATIONS 23918 NETWORK PLACE CHICAGO IL 60673 AV SERVICES 557503 CENTER PLATENBSE 801 MOUNT VERNON PLACE NW WASHINGTON DC 20001 CATERING 444772 SAGE PUBLICATIONS INC 2455 TELLER ROAD THOUSAND OAKS CA 913202234 PUBLICATION SERVICES 307465 SUMTOTAL SYSTEMS INC DEPT 33771 PO BOX 39000 SAN FRANCISCO CA 94139 SOFTWARE MAINTENANCE 172336 8 1189516 1189516 MEETINGS 900099 7409084 7409084 PRODUCT SALES 900099 1090277 1090277 8499361 502590 502590 1047363 1047363 142042 127816 14226 14226 14226 10873447 101897 10133064 104488 740383 -2591 737792 737792 OTHER REVENUE 900099 55207 55207 55207 12046055 8499361 0 2357178 X 372654 372654 715974 384051 271138 60785 2655826 1383090 1053979 218757 197849 108107 72643 17099 234806 178440 27900 28466 227678 124406 83595 19677 28447 28447 20641 15686 2453 2502 4942 3756 587 599 1160814 1087837 72468 509 682866 508680 115607 58579 268225 203837 31871 32517 308378 255532 52846 303736 218998 54198 30540 2374967 2231675 26244 117048 297364 225981 35333 36050 94959 72164 11283 11512 50284 44132 3046 3106 10000410 7419026 1890792 690592 4928183 10691771 1379610 1142848 114193 97181 6452000 0 584430 516194 15585328 2995428 13032595 12589900 6509612 7030573 1392206 2926858 34392829 34995325 1310368 1414855 5618843 4940169 19443005 17438727 26372216 23793751 X 2266394 5049343 2215490 2289888 3538729 3862343 8020613 11201574 34392829 34995325 X 2045645 -599568 1734884 X X 0 1 X 1 0 X 3331073 1331898 2584943 1645575 1189516 10083005 3331073 1331898 2584943 1645575 1189516 10083005 10083005 1310062 1163885 1685387 1892469 1691995 7743798 196453 329280 28132 73467 55207 682539 18509342 35222168 0.54480 0.54940 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4304489 329640 286073 94241 4825961 4032387 234350 14458 145616 4304489 2491184 1057410 502182 56856 4032387 1510053 765666 225626 10161 2491184 1760378 20854 -260860 10319 1510053 0.00000 0.79190 0.20810 0 0 2327631 2327631 10670509 1202897 9467612 1075843 492537 583306 1511345 1299994 211351 12589900 DUE FROM ACADEMY 1857321 LIFE INSURANCE POLICIES 282811 DEFERRED COMPENSATION 108281 BOND ISSUANCE COSTS 289723 RESTRICTED CASH 388722 2926858 INTEREST RATE SWAP 3002269 BONDS PAYABLE 14245000 DEFERRED COMP OBLIGATION 139689 OBLIGATIONS UNDER CAPITAL LEASES 51769 17438727 X 13309187 -599568 1862700 1263132 12046055 0 12046055 10128226 127816 127816 10000410 0 10000410 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE HAL FOSTER ENDOWMENT IS THE UMBRELLA FOR ALL OF THE FOUNDATION'S PERMANENTLY RESTRICTED FUNDS; IT INCLUDES FUNDS FOR GENERAL RESEARCH PROJECTS, AS WELL AS SPECIFIC DONOR-FUNDED PROJECTS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE ORGANIZATIONS ADOPTED THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS AND EVALUATED THEIR TAX POSITIONS AND DETERMINED THAT THEIR TAX POSITIONS ARE MORE-LIKELY-THAN-NOT TO BE SUSTAINED ON EXAMINATION. THE ORGANIZATIONS TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE TAX RETURNS FOR THE FISCAL YEARS ENDED 2010 THROUGH 2013 ARE OPEN FOR EXAMINATION BY TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE REPORTED ON PART VIII 127,816. GAIN ON INTEREST RATE SWAP 1,734,884. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE REPORTED ON PART VIII 127,816. 1 RESEARCH GRANTS 36 332654 TRAVEL AWARDS 32 40000 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE CENTRALIZED OTOLARYNGOLOGY RESEARCH EFFORT (CORE) GRANT PROGRAM USES THE PROPOSAL CENTRAL GRANTS MANAGEMENT SOFTWARE TO MANAGE THE AAO-HNS RESEARCH GRANTEES AND THOSE OF THE PARTICIPATING SPECIALTY SOCIETIES. ONCE EACH GRANTEE IS SELECTED TO RECEIVE FUNDING, A NOTIFICATION LETTER IS SENT ALONG WITH A TERMS AND CONDITIONS CONTRACT. ALL GRANTEES ARE REQUIRED TO SUBMIT A TERMS AND CONDITIONS CONTRACT, PRIOR TO ANY GRANTS FUNDS BEING RELEASED. THE CONTRACT STIPULATES THAT THE FUNDS WILL BE USED AS OUTLINED IN THEIR ORIGINAL GRANT PROPOSAL BUDGET. ANY DEVIATIONS FROM THE ORIGINAL BUDGET MUST BE APPROVED BY THE FUNDING ORGANIZATION. ALL GRANTEES ARE REQUIRED TO SUBMIT PROGRESS REPORTS EVERY 6-MONTHS, A FINAL PROGRESS REPORT (TO SHARE HOW THE FINDINGS WILL BE PRESENTED AND/OR PUBLISHED) AND A FINAL FINANCIAL REPORT WHICH OUTLINES THE USE OF THE FUNDS. IF THERE ARE UNEXPENDED FUNDS, THEY MUST BE RETURNED TO THE FUNDING ORGANIZATION. X 1 1 X X X X X 0 1 0 0 0 0 0 1 0 DAVID R NIELSEN MD 229653 229653 12375 12375 13199 13199 27971 27971 15043 15043 298241 298241 0 0 BRENDA S HARGETT CPA 117060 117060 6250 6250 15479 15479 12950 12950 9050 9050 160789 160789 0 0 MARY PAT CORNETT 174942 0 5000 0 4458 0 17204 0 14046 0 215650 0 0 0 JEAN BRERETON 33977 135910 1350 5400 661 2645 3238 12953 2067 8269 41293 165177 0 0 CARRIE HANLON 66600 66600 2000 2000 2615 2615 6458 6458 4969 4969 82642 82642 0 0 KATHERINE LEWIS 25897 103586 800 3200 928 3711 715 2858 1980 7922 30320 121277 0 0 PART I, LINE 1A THE EVP/CEO, THE PRESIDENT, AND THE PRESIDENT-ELECT ARE COMPENSATED FOR SPOUSAL TRAVEL WITH RESPECT TO ANNUAL MEETING EVENTS OR PRE-EVENTS. AMOUNTS ARE TREATED AS TAXABLE COMPENSATION TO THE RECIPIENTS. THERE WAS NO SPOUSAL TRAVEL DURING FISCAL YEAR 2013. PART I, LINE 4B DR. NIELSEN, 457F PLAN, $16,441 PART I, LINE 7 EACH YEAR THE ACADEMY AND FOUNDATION'S EVP/CEO IS ELIGIBLE FOR A PERFORMANCE-BASED BONUS UP TO, BUT NOT EXCEEDING, 8% OF HIS ANNUAL BASE SALARY, LESS TAXES AND WITHHOLDING. ANY BONUS AWARDED RESULTS FROM AN ANNUAL REVIEW AND FORMAL EVALUATION PROCESS, PERFORMED BY THE EXECUTIVE COMMITTEE, CHAIRED BY THE IMMEDIATE PAST PRESIDENT. A INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF ALEXANDRIA 546001103 01530LAA8 2008-01-01 6310000 FINANCE COSTS OF HDQTRS BLDG 0 0 0 A 6310000 293915 6389 2008 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 1 1 BANK OF AMERICA 2038.500000000000 1 0 0 0 0 AMERICAN ACADEMY OF OTOLARYNGOLOGY HEAD & NECK SURGERY INC COMMON BOARD MEMBERS 0 PLEASE SEE SCHEDULE R FOR ALL REPORTABLE TRANSACTIONS BETWEEN THE FOUNDATION AND THE ACADEMY 0 THE FOUNDATION AND THE RELATED ACADEMY ARE SECTION 501(C) ORGANIZATIONS THAT SHARE BOARD MEMBERS; THE ACADEMY IS A SECTION 501(C)(6) ORGANIZATION. PLEASE SEE PART IV AND SCHEDULE R FOR ADDITIONAL INFORMATION REGARDING BUSINESS TRANSACTIONS BETWEEN THE TWO ENTITIES. FORM 990, PART VI, SECTION A, LINE 1 THE FOUNDATION HAS AN EXECUTIVE COMMITTEE, WHICH CONSISTS OF THE PRESIDENT, THE MOST RECENT LIVING PAST PRESIDENT, THE PRESIDENT-ELECT, THE SECRETARY-TREASURER, THE CHAIR OF THE BOARD OF GOVERNORS OF AAO-HNS, AND TWO AT-LARGE DIRECTORS WHO ARE SERVING THE FOURTH AND FINAL YEAR OF THEIR TERM. THE EXECUTIVE COMMITTEE HAS, BETWEEN BOARD MEETINGS, ALL OF THE POWERS AND RESPONSIBILITIES CONFERRED UPON THE BOARD BY LAW, OR BY ITS BYLAWS, WITH RESPECT TO FOUNDATION OPERATIONS. THE EXECUTIVE COMMITTEE MAY REQUEST THAT THE BOARD BE CONVENED TO RATIFY ITS ACTIONS AND RECOMMENDATIONS. FORM 990, PART VI, SECTION A, LINE 4 THE AAO-HNSF BYLAWS WERE AMENDED AS FOLLOWS: EDITORIAL CLARIFICATION OF VOTING MEMBERS OF THE BOARD, EX-OFFICIO MEMBERS WITH VOTE, AND EX-OFFICIO MEMBERS WITHOUT VOTE; ADDITION OF THE CHAIR OF THE ETHICS COMMITTEE AS AN EX-OFFICIO BOARD MEMBER, WITHOUT VOTE; UPDATE TO THE FORM AND MEDIUM FOR DISTRIBUTION OF ANNUAL FINANCIAL REPORTS TO MEMBERS; ADDED THE AUDIT COMMITTEE AND ETHICS COMMITTEE AS STANDING COMMITTEES OF THE BOARD AND DETAILED THEIR DUTIES, FUNCTIONS AND MAKEUP; LANGUAGE FOR APPOINTMENT OF AD HOC SEARCH COMMITTEES FOR COORDINATOR APPOINTMENTS WAS ELIMINATED. FORM 990, PART VI, SECTION A, LINE 6 THE FOUNDATION HAS ONE MEMBER, THE AMERICAN ACADEMY OF OTOLARYNGOLOGY, HEAD AND NECK SURGERY, INC. FORM 990, PART VI, SECTION A, LINE 7A THE FOUNDATION'S BYLAWS SPECIFY THAT ITS BOARD MEMBERS MUST CONSIST OF MEMBERS OF THE BOARD OF ITS SOLE MEMBER, THE AMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY, INC. FORM 990, PART VI, SECTION A, LINE 7B THE BYLAWS ADOPTED BY THE FOUNDATION MAY BE AMENDED BY THE AFFIRMATIVE VOTE OF A MAJORITY OF THE BOARD OF DIRECTORS AND WITH APPROVAL OF THE MEMBER AT A MEETING OF THE MEMBER PROVIDED, HOWEVER, THAT NO AMENDMENT SHALL BE ACTED UPON UNLESS WRITTEN NOTICE, SETTING FORTH THE SUBSTANCE OF THE PROPOSED AMENDMENT, AND THE TIME AND PLACE OF MEETING, SHALL HAVE BEEN SENT TO THE BOARD OF DIRECTORS AT LEAST THIRTY DAYS IN ADVANCE OF THE MEETING. 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 INQUIRES OF INDIVIDUALS REGARDING CONFLICT OF INTERST ARE PERFORMED AND FOLLOWED UP ON. FORM 990, PART VI, SECTION B, LINE 15A A COMPENSATION COMMITTEE OF THE EXECUTIVE COMMITTEE OF THE ACADEMY AND THE FOUNDATION UNDERTAKE AN ANNUAL REVIEW OF THE EVP/CEO'S PERFORMANCE. THE COMMITTEES USE AS A GUIDE FOR DETERMINING THE COMPENSATION A FORMAL EVALUATION PROCESS ESTABLISHED BY THE EXECUTIVE AND FINANCE COMMITTEE. A SMALL SUBSET OF THE BOD, 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. THE COMPENSATION OF THE OTHER OFFICERS AND KEY EMPLOYEES ARE DETERMINED BY THE EVP/CEO. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. OTHER FEES FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,087,837. MANAGEMENT AND GENERAL EXPENSES 72,468. FUNDRAISING EXPENSES 509. TOTAL EXPENSES 1,160,814. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: INTEREST RATE SWAP AGREEMENT 1,734,884. FORM 990, PART XII, LINE 2C THE PROCESS HAS REMAINED UNCHANGED FROM THE PRIOR YEAR. AMERICAN ACADEMY OF OTOLARYNGOLOGY - HEAD & NECK SURGERY 1650 DIANONAL ROAD ALEXANDRIA VA 22314 521219436 AAO-HNS IS THE WORLD'S LARGEST ORGANIZATION REPRESENTING SPECIALISTS DC 501(C)(6) 0 ENT RESOURCES INC 1650 DIAGONAL ROAD ALEXANDRIA VA 22314 541996469 PRODUCTS, SERVICES AND INFO TO BENEFIT PROVIDERS VA N/A C 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 1 0 0 AMERICAN ACADEMY OF OTOLARYNGOLOGY - HEAD AND NECK SURGERY N 613475 COST AMERICAN ACADEMY OF OTOLARYNGOLOGY - HEAD AND NECK SURGERY L 3460579 COST AMERICAN ACADEMY OF OTOLARYNGOLOGY - HEAD AND NECK SURGERY P 14865 COST AMERICAN ACADEMY OF OTOLARYNGOLOGY - HEAD AND NECK SURGERY Q 1525895 COST