2017-11-15T16:27:26-06:00 2016-12-31 420714325 RSM US LLP 200 ELM STREET SUITE 200 STAMFORD CT 06902 990 2016-01-01 566067043 AMERICAN BOARD OF NEUROLOGICAL SURGERY AMER 2033972267 245 AMITY ROAD NO 208 WOODBURY CT 06525 FREDRIC B MEYER EXECUTIVE DIRECTOR/ADMINISTRATOR 2033972267 2017-11-14 1 GERALD LANDAU P01026331 2033273112 108.171.130.186 2017-11-14 16:32:01 ES P 1EDB9B64AE9424AB28CC444D50047D64D07057A6 1EDB9B64AE9424AB28CC444D50047D64D07057A6 2016 2018-03-14 21:41:22Z FREDRIC B MEYER 245 AMITY ROAD WOODBRIDGE CT 06525 2670956 0 X WWW.ABNS.ORG X 1940 DE THE PRIMARY PURPOSE OF ABNS IS TO CONDUCT EXAMINATIONS OF CANDIDATES WHO VOLUNTARILY SEEK CERTIFICATION, AND TO ISSUE CERTIFICATES TO THOSE WHO MEET THE REQUIREMENTS OF THE BOARD. 14 0 0 0 0 0 1435806 1177410 1170181 1348720 153321 144826 6746 0 2766054 2670956 0 0 0 0 619679 413343 0 0 0 1967250 1991286 2586929 2404629 179125 266327 3429353 3642530 429194 399195 3000159 3243335 THE PRIMARY PURPOSE OF ABNS IS TO CONDUCT EXAMINATIONS OF CANDIDATES WHO VOLUNTARILY SEEK CERTIFICATION, AND TO ISSUE CERTIFICATES TO THOSE WHO MEET THE REQUIRMENTS OF THE BOARD. 0 0 1875611 1348720 THE WRITTEN PRIMARY EXAMINATION WAS GIVEN ONCE IN 2016 TO 1369 RESIDENTS. 239 TOOK IT FOR CREDIT AND 83% PASSED. THE ORAL EXAMINATION WAS ADMINISTRATED TWICE DURING 2016 TO A TOTAL OF 178 NEUROLOGICAL SURGERY CANDIDATES. 150 CANDIDATES WERE CERTIFIED. 1875611 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 11 0 1 0 0 0 0 0 0 0 X 14 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 1 0 X FREDRIC B MEYER 2033972267 245 AMITY ROAD SUITE 208 WOODBRIDGE CT 06525 X X KEVIN M COCKROFT MD DIRECTOR 1.00 X 0 0 0 CARL B HEILMAN MD DIRECTOR 1.00 X 0 0 0 DANIEL K RESNICK MD DIRECTOR 1.00 X 0 0 0 ANTHONY L ASHER MD DIRECTOR 1.00 X 0 0 0 ALAN R COHEN MD VICE CHAIRMAN 1.00 X 0 0 0 MARK N HADLEY MD DIRECTOR 1.00 X 0 0 0 CHRISTOPHER I SHAFFREY MD CHAIRMAN 1.00 X 0 0 0 B GREGORY THOMPSON MD TREASURER 1.00 X 0 0 0 E SANDER CONNOLLY JR MD DIRECTOR 1.00 X 0 0 0 RICHARD G ELLENBOGEN MD SECRETARY 1.00 X 0 0 0 DOUGLAS S KONDZIOLKA MD DIRECTOR 1.00 X 0 0 0 ANIL NANDA MD DIRECTOR 1.00 X 0 0 0 LINDA M LIAU MD DIRECTOR 1.00 X 0 0 0 FREDRIC B MEYER MD EXECUTIVE DIRECTOR 40.00 X 0 0 0 0 0 0 0 0 0 0 MAYO FOUNDATION FOR MEDICAL EDUCATION & 3050 SUPERIOR DRIVE NW ROCHESTER MN 55905 CONSULTING 222628 RSM US LLP 331 W THIRD STREET SUITE 200 DAVENPORT IA 52801 ACCOUNTING 162270 HOGAN LOVELLS US LLP 555 THIRTEENTH STREET WASHINGTON DC 200041109 LEGAL 135225 3 1177410 1177410 EXAMINATION FEES 900099 962378 962378 APPLICATION FEES 900099 386342 386342 1348720 67693 67693 77133 0 77133 77133 77133 2670956 1348720 0 144826 X 303405 236656 66749 109938 85752 24186 147183 114803 32380 183948 143479 40469 22834 17811 5023 370516 289002 81514 152695 119102 33593 68184 53184 15000 47755 37249 10506 79665 62139 17526 58277 45456 12821 85025 66319 18706 EXAMINATION EXPENSE - O 543634 424035 119599 MAINTENANCE OF CERTIFIC 230690 179938 50752 FOREIGN TAXES 880 686 194 2404629 1875611 529018 0 476085 604270 190987 173823 99750 113225 118458 147618 370689 271486 154803 99203 2389270 2504391 3429353 3642530 65030 344805 334165 84389 429194 399195 X 3000159 3243335 3000159 3243335 3429353 3642530 266327 -23151 0 X X 1 X 0 1 0 30577 2968 27609 107121 88253 18868 232991 180265 52726 99203 FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION RECEIVES A COPY OF THE FORM 990 PRIOR TO FILING. IT IS PASSED OUT TO THE BOARD MEMBERS FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD MEMBERS AND OFFICERS OF THE ORGANIZATION COMPLETE A CONFLICT OF INTEREST QUESTIONAIRE WHICH IS THEN REVIEWED BY THE EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION CONTRACTS WITH AN OUTSIDE CONSULTANT EVERY TWO TO THREE YEARS TO DETERMINE THE COMPENSATION OF THE EXECUTIVE DIRECTOR. THE CONSULTANT UTILIZES COMPENSATION SURVEYS AND FORM 990 OF OTHER SUCH ORGANIZATIONS TO DETERMINE THE LEVEL OF COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE IT'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART VII, SECTION A, LINE 1A: EXECUTIVE DIRECTOR FREDERIC MEYER IS EMPLOYED BY THE MAYO CLINIC. THE MAYO CLINIC INVOICES THE AMERICAN BOARD OF NEUROLOGICAL SURGERY FOR HIS TIME AND THE TIME OF A SECOND MAYO CLINIC EMPLOYEE. THE AMERICAN BOARD OF NEUROLOGICAL SURGERY PAYS THE INVOICE TO THE MAYO CLINIC. THE MAYO CLINIC IS NOT A RELATED ORGANIZATION OF THE AMERICAN BOARD OF NEUROLOGICAL SURGERY. FORM 990, PART IX, LINE 11G OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 289,002. MANAGEMENT AND GENERAL EXPENSES 81,514. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 370,516. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A FINANCE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT/REVIEW AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. NEUROLOGICAL DATA MANAGEMENT 245 AMITY ROAD SUITE 208 WOODBRIDGE CT 06525 724452180 DATA MANAGEMENT DE 0 0 AMERICAN BOARD OF NEUROLOGICAL SURGERY YALE NEW HAVEN HOSPITAL INC 20 YORK STREET NEW HAVEN CT 08510 060646652 HOSPITAL CT 501 (C)(3) 170BIAIII 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FORM 990, SCHEDULE R, PART I NEUROLOGICAL DATA MANAGEMENT WAS DISSOLVED ON DECEMBER 31, 2016.