2012-03-07T07:41:34-06:00 2011-10-31 BLACKMAN & SLOOP CPAS PA 1414 RALEIGH RD SUITE 300 CHAPEL HILL NC 27517 990 2010-11-01 231417504 AMERICAN BOARD OF PEDIATRICS INC AMER 9199290461 111 SILVER CEDAR COURT CHAPEL HILL NC 27514 ANN A HAZINSKI 9199290461 2012-03-02 1 ANDREA WOODELL EASON 9199428700 2010 2016-02-24 21:20:13Z ANN E HAZINSKI CPA MBA 111 SILVER CEDAR COURT CHAPEL HILL NC 27514 45894751 0 X HTTP://WWW.ABP.ORG X 1933 NC THE AMERICAN BOARD OF PEDIATRICS (ABP) CERTIFIES GENERAL PEDIATRICIANS AND PEDIATRIC SUBSPECIALISTS BASED ON STANDARDS OF EXCELLENCE THAT LEAD TO HIGH QUALITY HEALTH CARE FOR INFANTS, CHILDREN, AND ADOLESCENTS. ABP CERTIFICATION PROVIDES ASSURANCE TO THE PUBLIC THAT A GENERAL PEDIATRICIAN OR PEDIATRIC SUBSPECIALIST HAS SUCCESSFULLY COMPLETED ACCREDITED TRAINING AND FULFILLS THE CONTINUOUS EVALUATION REQUIREMENTS THAT ENCOMPASS THE SIX CORE COMPETENCIES: PATIENT CARE, MEDICAL KNOWLEDGE, PRACTICE-BASED LEARNING AND IMPROVEMENT, INTERPERSONAL AND COMMUNICATION SKILLS, PROFESSIONALISM, AND SYSTEMS-BASED PRACTICE. THE ABP'S QUEST FOR EXCELLENCE IS EVIDENT IN ITS RIGOROUS EVALUATION PROCESS AND IN NEW INITIATIVES UNDERTAKEN THAT NOT ONLY CONTINUALLY IMPROVE THE STANDARDS OF ITS CERTIFICATION BUT ALSO ADVANCE THE SCIENCE, EDUCATION, STUDY, AND PRACTICE OF PEDIATRICS. 17 15 104 250 0 0 0 0 17105434 20323211 986549 -144138 48145 41596 18140128 20220669 0 0 0 0 11394295 11787827 0 0 0 9459239 8948866 20853534 20736693 -2713406 -516024 65179009 72420069 21606208 28904255 43572801 43515814 X THE AMERICAN BOARD OF PEDIATRICS (ABP) CERTIFIES GENERAL PEDIATRICIANS AND PEDIATRIC SUBSPECIALISTS BASED ON STANDARDS OF EXCELLENCE THAT LEAD TO HIGH QUALITY HEALTH CARE FOR INFANTS, CHILDREN, AND ADOLESCENTS. ABP CERTIFICATION PROVIDES ASSURANCE TO THE PUBLIC THAT A GENERAL PEDIATRICIAN OR PEDIATRIC SUBSPECIALIST HAS SUCCESSFULLY COMPLETED ACCREDITED TRAINING AND FULFILLS THE CONTINUOUS EVALUATION REQUIREMENTS THAT ENCOMPASS THE SIX CORE COMPETENCIES: PATIENT CARE, MEDICAL KNOWLEDGE, PRACTICE-BASED LEARNING AND IMPROVEMENT, INTERPERSONAL AND COMMUNICATION SKILLS, PROFESSIONALISM, AND SYSTEMS-BASED PRACTICE. THE ABP'S QUEST FOR EXCELLENCE IS EVIDENT IN ITS RIGOROUS EVALUATION PROCESS AND IN NEW INITIATIVES UNDERTAKEN THAT NOT ONLY CONTINUALLY IMPROVE THE STANDARDS OF ITS CERTIFICATION BUT ALSO ADVANCE THE SCIENCE, EDUCATION, STUDY, AND PRACTICE OF PEDIATRICS. 0 0 EXAMINATIONS WERE ADMINISTERED TO PEDIATRICIANS TO CERTIFY OR RECERTIFY IN GENERAL PEDIATRICS AND PEDIATRIC SUBSPECIALTIES. IN ADDITION, ABP ADMINISTERED MAINTENANCE OF CERTIFICATION. 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 308 0 1 104 1 0 0 0 0 0 0 X 17 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X ANN E HAZINSKI CPA MBA CFO 9199290461 111 SILVER CEDAR COURT CHAPEL HILL NC 27514 MYLES B ABBOTTMD 3.00 X 9035 0 0 DOUGLAS J BARRETTMD 3.00 X 7873 0 0 LAURA M BROOKSMD 3.00 X 7348 0 0 ALAN R COHENMD 7.00 X X 13608 0 0 MARY FRAN HAZINSKI 3.00 X 7500 0 0 A CRAIG HILLEMEIERMD 5.00 X X 9025 0 0 DAVID M JAFFEMD 3.00 X 8864 0 0 M DOUGLAS JONES JRMD 3.00 X X 16317 0 0 THOMAS G KEENSMD 3.00 X 7089 0 0 MARSHALL L LAND JRMD 5.00 X X 14705 0 0 CAROL JB LINDSLEYMD 3.00 X 8819 0 0 DAVID G NICHOLSMD 3.00 X 8349 0 0 LAUREL K LESLIE MD 3.00 X 1875 0 0 STEPHEN LUDWIG MD 3.00 X 4672 2500 0 DANA C MATTHEWS MD 3.00 X 13750 0 0 VIRGINIA A MOYER MD 3.00 X 1500 0 0 KENNETH BROBERTS MD 3.00 X 9097 0 0 JOSEPH W ST GEME MD 3.00 X 528 0 0 GAIL A MCGUINNESSMD 49.00 X X 487560 0 39580 JAMES A STOCKMANIIIMD 49.00 X X 823469 0 47680 LINDA A ALTHOUSEPHD 49.00 X 148172 0 31771 HAROLD JAMES BROWNMD 50.00 X 350432 0 47080 HAZEN P HAMPHD 23.00 X 216695 0 48153 ANN E HAZINSKIMBACPA 49.50 X 273984 0 50800 KATHERINE H LITTLECPA 49.50 X 451441 0 47000 PAUL V MILESMD 47.00 X 427246 0 48180 MICHELE J WALL 49.00 X 221072 0 45928 W ALLEN GUBERT 50.00 X 105623 0 25449 GRAMS GUTKNECHT 50.00 X 100095 0 25095 KELLY S REDDICK 50.00 X 107305 0 30907 ANN F SMITH 50.00 X 101317 0 25661 CAROL L CARRACCIOMD 3.00 X 14018 0 0 3978383 2500 513284 13 1 1 0 PROMETRIC INC PO BOX 223608 PITTSBURG PA 15251 EXAMINATION PROCTORING 682326 TEKSYSTEMS INC PO BOX 198568 ATLANTA GA 30384 COMPUTER PROGRAMMING 514920 HOWERY LLP 1299 PENNSYLVANIA AVE NW WASHINGTON DC 20004 LEGAL SERVICES 162514 JOEL KOPER 204 MELVILLE LOOP 5 CHAPEL HILL NC 27514 IT CONSULTING 134935 EXAM DESIGN INC 6 PAGEMORE COURT DURHAM NC 27703 EXAM ITEM BANKING SOFTWARE USE 134700 6 GENERAL WRITTEN EXAMS 900099 11773045 11773045 SUBSPECIALTY EXAMS 900099 4272305 4272305 MAINTENANCE OF CERTIFI 900099 4164751 4164751 STRATEGIC INITIATIVE 900099 62450 62450 ABMS INTERNATIONAL 900099 50660 50660 20323211 1243716 1243716 24282815 3413 25669316 4766 -1386501 -1353 -1387854 -1387854 MISCELLANEOUS INCOME 900099 36521 36521 VERIFICATION LETTERS 900099 5075 5075 41596 20220669 20364807 0 -144138 2650190 5732537 1255132 1578184 571784 208963 70723 281547 679337 36201 366215 108974 655005 1325241 773603 103480 SUBSPECIALTY EXAM DIREC 1068876 MAINTENANCE OF GENERAL 1066327 GENERAL WRITTEN EXAM DI 831303 DUES AND SUBSCRIPTIONS 761168 BANK & CREDIT CARD CHAR 373094 238809 20736693 50 50 7241274 4874052 97225 133777 259487 202678 17226316 7101584 10459517 10124732 47121456 57084780 65179009 72420069 2483335 1959308 14121196 19902622 38282 27344 4963395 7014981 21606208 28904255 X 43572801 43515814 43572801 43515814 65179009 72420069 X -516024 459037 X X 0 1 1 X 0 2130492 2130492 9324731 2596886 6727845 5293423 4368552 924871 477670 136146 341524 10124732 DEFERRED COMPENSATION 992167 DEFERRED PENSION 6022814 7014981 20220669 20736693 -516024 2185226 -1726189 459037 -56987 22405895 2185226 2185226 20220669 0 20220669 20736693 0 20736693 0 20736693 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: IN ACCORDANCE WITH FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") ACCOUNTING STANDARDS CODIFICATION 740-10 ("ASC 740-10") ACCOUNTING FOR INCOME TAXES, THE ABP REFLECTS IN THE FINANCIAL STATEMENTS THE BENEFIT OF POSITIONS TAKEN IN A PREVIOUSLY FILED TAX RETURN OR EXPECTED TO BE TAKEN IN A FUTURE TAX RETURN ONLY WHEN IT IS CONSIDERED 'MORE-LIKELY-THAN-NOT' THAT THE POSITION TAKEN WILL BE SUSTAINED BY A TAXING AUTHORITY. THE ABP EVALUATES ITS UNCERTAIN TAX POSITIONS USING PROVISIONS OF ASC 450, CONTINGENCIES. ACCORDINGLY, A LOSS CONTINGENCY IS RECOGNIZED WHEN IT IS PROBABLE THAT A LIABILITY HAS BEEN INCURRED AS OF THE DATE OF THE FINANCIAL STATEMENTS AND THE AMOUNT OF THE LOSS CAN BE REASONABLY ESTIMATED. THE AMOUNT RECOGNIZED IS SUBJECT TO ESTIMATE AND MANAGEMENT JUDGMENT WITH RESPECT TO THE LIKELY OUTCOME OF EACH UNCERTAIN TAX POSITION. THE AMOUNT THAT IS ULTIMATELY SUSTAINED FOR AN INDIVIDUAL UNCERTAIN TAX POSITION OR FOR ALL UNCERTAIN TAX POSITIONS IN THE AGGREGATE COULD DIFFER FROM THE AMOUNT RECOGNIZED. IF APPLICABLE, PENALTIES AND INTEREST ASSESSED BY INCOME TAXING AUTHORITIES ARE INCLUDED IN GENERAL AND ADMINISTRATIVE EXPENSES. UNDER THE STATUTE OF LIMITATIONS, THE TAX RETURNS OF THE ABP FOR 2008 THROUGH 2010 ARE SUBJECT TO EXAMINATION BY TAXING AUTHORITIES. MANAGEMENT EVALUATED TAX POSITIONS FOR THE 2008 THROUGH 2010 RETURNS, AND CONCLUDED THAT THERE ARE NO UNCERTAIN TAX POSITIONS AND BELIEVES THERE IS NO INCOME TAX EFFECT ON THE FINANCIAL STATEMENTS. PART XI, LINE 8: POST RETIREMENT BENEFIT ADJUSTMENT. X X 1 1 X X X X 0 1 0 GAIL A MCGUINNESSMD 433369 0 0 0 54191 0 32830 0 8922 0 529312 0 0 0 JAMES A STOCKMANIIIMD 588452 0 8602 0 226415 0 32830 0 17022 0 873321 0 0 0 LINDA A ALTHOUSEPHD 136048 0 0 0 12124 0 20441 0 12551 0 181164 0 0 0 HAROLD JAMES BROWNMD 334699 0 0 0 15733 0 32830 0 20351 0 403613 0 0 0 HAZEN P HAMPHD 194584 0 0 0 22111 0 29483 0 20231 0 266409 0 0 0 ANN E HAZINSKIMBACPA 260000 0 0 0 13984 0 32830 0 19910 0 326724 0 0 0 KATHERINE H LITTLECPA 298735 0 9854 0 142852 0 32830 0 16325 0 500596 0 0 0 PAUL V MILESMD 385732 0 0 0 41514 0 32830 0 22835 0 482911 0 0 0 MICHELE J WALL 199180 0 0 0 21892 0 30078 0 17427 0 268577 0 0 0 CAROL L CARRACCIOMD 14018 0 0 0 0 0 0 0 0 0 14018 0 0 0 PART I, LINE 1A THE ABP PROVIDES THE OPTION OF FIRST CLASS TRAVEL TO THE PRESIDENT AND THE CHAIRMAN OF THE BOARD OF DIRECTORS. THESE FIRST CLASS TICKETS ARE OFTEN PURCHASED USING UPGRADES. IN ADDITION, ANY ABP STAFF MEMBER WHO TRAVELS IN EXCESS OF 25,000 AIR MILES PER YEAR HAS THE OPTION OF UPGRADING HIS/HER AIRLINE TICKET TO FIRST CLASS AND WILL BE REIMBURSED FOR THE UPGRADE. THE ABP COVERS THE COSTS OF SPOUSE AIRFARE FOR MEMBERS WHO ATTEND SELECTED ABP BUSINESS MEETINGS. IN ADDITION THE ABP COVERS THE COST OF SENIOR MANAGEMENT SPOUSE AIRFARE FOR TRAVEL TO SELECTED ABP BUSINESS MEETINGS. PART I, LINE 4B THE ABP PROVIDES A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FOR SOME SENIOR MANAGEMENT MEMBERS. THE FOLLOWING SUCH BENEFITS WERE PROVIDED IN THE CURRENT TAX YEAR: JAMES A. STOCKMAN - PRESIDENT $132,645* PAUL V. MILES - VICE PRESIDENT $8,300 GAIL A. MCGUINNESS - SR. VICE PRESIDENT $6,500 KATHARINE H. LITTLE - VP & CFO (EMERITUS) $850 *NEW LEGISLATION WAS PASSED IN 2006 THAT CHANGED THE RULES WITH REGARD TO INCOME RECOGNITION FOR NON-QUALIFIED DEFERRED COMPENSATION PLANS. SUCH AN AGREEMENT HAD BEEN PUT INTO PLACE BY ABP'S EXECUTIVE COMMITTEE WHEN DR. STOCKMAN WAS HIRED. WITH THE PASSAGE OF THE NEW LEGISLATION, DR. STOCKMAN WAS NO LONGER ABLE TO DEFER COMPENSATION PER THE TERMS OF THE AGREEMENT AND RECOGNIZE IT WHEN HE RETIRES. THEREFORE, IN 2007, HE WAS PAID ALL OF THE DEFERRED COMPENSATION THAT HAD BEEN ACCRUED PER THE AGREEMENT SINCE HIS HIRE IN 1990. THEREAFTER, EACH ANNUAL INSTALLMENT OF THE DEFERRED COMPENSATION IS PAID OUT TO DR. STOCKMAN AS ACCRUED AND INCOME IS IMMEDIATELY RECOGNIZED. SUPPLEMENTAL INFORMATION PART III ** KATHERINE LITTLE RETIRED FROM THE ABP ON DECEMBER 31, 2010. HER COMPENSATION FOR 2010 INCLUDED PAYOUTS FOR ACCRUED VACATION AND SICK LEAVE TOTALING $121,086, AND SERVICE BONUSES FOR TWO YEARS TOTALING $9,854. FORM 990, PART VI, SECTION B, LINE 11 ABP POLICY PROVIDES THAT A PDF OF THE FORM 990 AND ATTACHED SCHEDULES IS TO BE EMAILED TO EACH BOARD MEMBER PRIOR TO THE IRS FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ABP HAS A CONFLICT OF INTEREST POLICY. EVERY ABP MEMBER AND EMPLOYEE MUST REVIEW THE POLICY ANNUALLY AND DISCLOSE ANY POTENTIAL CONFLICT VIA A SIGNED FORM. THE ABP HAS ESTABLISHED A PROFESSIONALISM AND ETHICS COMMITTEE THAT REVIEWS AND MONITORS ALL CONFLICT OF INTEREST ISSUES. CONFLICTS OF MEMBERS ATTENDING MEETINGS WILL BE DISCLOSED IN THE AGENDA MATERIALS, BEGINNING IN THE SPRING OF 2012. FORM 990, PART VI, SECTION B, LINE 15 EACH YEAR SINCE 1988, THE ABP HAS ENGAGED AN INDEPENDENT COMPENSATION AND BENEFIT CONSULTING FIRM TO ASSIST THE ABP IN DETERMINING COMPENSATION FOR ALL ABP STAFF FOR THE UPCOMING YEAR, INCLUDING THE PRESIDENT AND SENIOR MANAGEMENT. THE COMPENSATION STRATEGY THAT THE CONSULTING FIRM HAS DESIGNED FOR ABP EMPHASIZES PAY FOR PERFORMANCE AND IS BASED UPON THE SYSTEMATIC SLOTTING OF EACH ABP STAFF POSITION ON A GRADED SCALE. PAY FOR EACH OF THESE GRADES IS THEN DETERMINED BY COMPARING EACH OF THE POSITIONS TO A COMPARABLE POSITION IN THE APPROPRIATE MARKETPLACE, I.E. LOCAL, REGIONAL, OR NATIONAL DEPENDING UPON THE JOB'S RESPONSIBILITIES AND ITS HIERARCHY WITHIN THE ORGANIZATION. A RANGE IS CREATED AROUND EACH GRADE AND PERFORMANCE DICTATES HOW QUICKLY STAFF ADVANCE THROUGH THE GRADE. A FORMAL PRESENTATION IS MADE BY THE CONSULTANT TO THE EXECUTIVE COMMITTEE EACH YEAR DURING WHICH THE COMPENSATION STRATEGY IS REVIEWED, BENCHMARKS ARE REVIEWED AND UPDATED, AND STAFF SALARY RECOMMENDATIONS ARE MADE. FOLLOWING THAT PRESENTATION, THE CONSULTANT MEETS IN CLOSED SESSION WITH THE EXECUTIVE COMMITTEE, WITHOUT THE PRESENCE OF ABP STAFF, TO PRESENT A REVIEW OF THE SALARY BENCHMARKS FOR THE ABP PRESIDENT AND THE PHYSICIAN VICE PRESIDENTS FOLLOWED BY HIS RECOMMENDATION FOR SALARY INCREASES FOR THOSE POSITIONS. THESE RECOMMENDATIONS ALL MUST BE FORMALLY APPROVED BY THE COMMITTEE BEFORE THEY ARE IMPLEMENTED. THE CONSULTANT THEN PREPARES MINUTES OF THE CLOSED SESSION AND THE APPROVED SALARY INCREASES. HE THEN FORWARDS THOSE MINUTES, ALONG WITH ALL OF THE APPROVED SALARY INCREASES TO THE ABP CFO FOR IMPLEMENTATION AND SAFEKEEPING. FORM 990, PART VI, SECTION C, LINE 19 CURRENTLY THESE DOCUMENTS ARE MADE AVAILABLE UPON WRITTEN REQUEST AS DEEMED APPROPRIATE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 2,185,226. POST RETIREMENT BENEFIT ADJUSTMENT -1,726,189. TOTAL TO FORM 990, PART XI, LINE 5: 459,037. OVERSIGHT COMMITTEE PART XI, LINE 2C NO CHANGE FROM PRIOR YEAR HOURS WORKED FOR ABPF, A RELATED ORGANIZATION: THE FOLLOWING INDIVIDUALS ALSO PERFORMED SERVICES FOR THE AMERICAN BOARD OF PEDIATRICS FOUNDATION, A RELATED ORGANIZATION. NAME TITLE HOURS PER WEEK JAMES A. STOCKMAN, III, MD PRESIDENT 1 GAIL A. MCGUINESS, MD EXEC. VP 1 LINDA ALTHOUSE, PHD VP 1 HAZEN P. HAM, PHD VP 27 KATHARINE H. LITTLE, CPA VP & CFO(EMERITUS) .5 PAUL V. MILES, MD SENIOR VP 3 MICHELE J. WALL VP & COO 1 ANN HAZINSKI, CPA, MBA VP & CFO .5 AMERICAN BOARD OF PEDIATRICS FOUNDATION 111 SILVER CEDAR COURT CHAPEL HILL NC 27514 561520520 SUPPORTING ORGANZIATION NC 501(C)(3) SUPPORTING ORG. 0 0 1 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 AMERICAN BOARD OF PEDIATRICS FOUNDATION INC B 1262793 AMERICAN BOARD OF PEDIATRICS FOUNDATION INC K 315463 AMERICAN BOARD OF PEDIATRICS FOUNDATION INC M 33679