2023-08-11T13:49:22-05:00 2022-12-31 FORVIS LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2022-01-01 201354373 The American Board of Radiology Foundation % BRENT J WAGNER MD AMER 5207902900 5441 E Williams Circle Tucson AZ 85711 BRENT J WAGNER MD EXECUTIVE DIRECTOR 5207902900 2023-11-15 true BRENT J WAGNER 999009999 Jeanette Verrelli P00742631 9727028262 2 2022 2023-04-26 12:10:37Z BRENT J WAGNER MD 5441 E WILLIAMS CIRCLE TUCSON AZ 85711 100406 false X N/A X 2004 DC TO DEMONSTRATE, ENHANCE, AND CONTINUOUSLY IMPROVE ACCOUNTABILITY TO THE PUBLIC IN THE USE OF MEDICAL IMAGING AND RADIATION THERAPY. 9 9 0 10 0 0 0 0 0 0 18978 17734 0 0 18978 17734 0 53630 0 0 0 0 0 0 0 4189 4634 4189 58264 14789 -40530 1838599 1504878 0 0 1838599 1504878 THE FOUNDATION CARRIES OUT THE SCIENTIFIC, EDUCATIONAL AND CHARITABLE PURPOSE OF THE MISSION OF THE AMERICAN BOARD OF RADIOLOGY. false false 53630 53630 CONDUCT RESEARCH TO IMPROVE EDUCATION, EXAMINATION, AND CERTIFICATION IN FIELD OF RADIOLOGY, CONDUCT SYMPOSIUMS AND PUBLIC FORUMS TO PUBLICIZE RESEARCH RESULTS. 53630 true false false false false false false false false false false false false false false false false true false false false false false false false false false true false true false false false false false false false false false false false false false true false false false true 0 0 0 false false false false false false false false false false false false X 9 9 false false false false true true false true true false false true true true true true true false false false AZ X BRENT J WAGNER MD 5207902900 5441 E WILLIAMS CIRCLE TUCSON AZ 85711 BRENT WAGNER MD EXECUTIVE DIRECTOR 1.0 50.0 X 0 701356 68530 KELLY CRANDALL FINANCE DIRECTOR 1.0 50.0 X 0 167674 23939 VINCENT MATHEWS MD PRESIDENT, THRU 09/22 0.25 10.0 X X 0 0 0 ROBERT BARR MD PRESIDENT 0.25 10.0 X X 0 0 0 JOHN KAUFMAN MD SECRETARY/TREASURER 0.25 3.0 X X 0 0 0 DONALD J FLEMMING MD GOVERNOR 0.25 3.0 X 0 0 0 CHERI CANON MD PRESIDENT-ELECT 0.25 3.0 X X 0 0 0 J ANTHONY SEIBERT PhD GOVERNOR, THRU 09/22 0.25 3.0 X 0 0 0 KALED M ALEKTIAR MD GOVERNOR 0.25 3.0 X 0 0 0 TOBY A GORDON SCD GOVERNOR 0.25 3.0 X 0 0 0 MARY S NEWELL MD GOVERNOR 0.25 3.0 X 0 0 0 DANIEL DAVIS MD GOVERNOR 0.25 3.0 X 0 0 0 MATTHEW PODGORSAK PhD CHAIR OF TRUSTEES 0.25 3.0 X X 0 0 0 0 869030 92469 0 false true false 0 0 0 21079 21079 0 0 0 0 0 79327 82672 -3345 -3345 -3345 0 0 0 0 0 0 0 0 0 0 17734 17734 53630 53630 0 0 0 0 0 0 0 0 0 0 0 4095 4095 0 0 0 0 0 539 539 0 0 0 0 0 0 0 0 0 0 58264 53630 4634 0 10954 19972 263590 303572 0 0 4225 4004 0 0 0 0 0 0 0 0 0 0 0 0 1559830 1177330 0 0 0 0 0 0 0 0 1838599 1504878 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 1838599 1504878 0 0 1838599 1504878 1838599 1504878 -40530 -293191 X false true X true false X X 1 THE AMERICAN BOARD OF RADIOLOGY 410773787 10 true 17130 36500 1 17130 36500 true true true true true false false false false false false false false false false false false true false SCHEDULE A, PART IV, SECTION A, LINE 2 IRS DETERMINATION LETTER: ALTHOUGH THERE IS NO IRS DETERMINATION LETTER, THE AMERICAN BOARD OF RADIOLOGY PERIODICALLY REVIEWS ITS FUNDING SOURCES FOR CLASSIFICATION PURSUANT TO INTERNAL REVENUE CODE SECTION 509(A)(2). SCHEDULE A, PART IV, SECTION A, LINE 3B DETERMINATION OF QUALIFYING ORGANIZATION: THE AMERICAN BOARD OF RADIOLOGY FOUNDATION IS A SUPPORTING ORGANIZATION FOR THE AMERICAN BOARD OF RADIOLOGY WITHIN THE MEANING OF THE INTERNAL REVENUE CODE SECTIONS 170(C), 501(C)(3), 509(A)(3), AND 2055(A). AS SUCH, THE AMERICAN BOARD OF RADIOLOGY PERIODICALLY REVIEWS ITS FUNDING SOURCES FOR CLASSIFICATION PURSUANT TO INTERNAL REVENUE CODE SECTION 509(A)(2). THE AMERICAN BOARD OF RADIOLOGY QUALIFICATION IS BASED ON CONTRIBUTIONS FROM APPROXIMATELY 35,000 CANDIDATES AND DIPLOMATES. THE ORIGINAL DETERMINATION FOR INTERNAL REVENUE CODE SECTION 509(A)(2) WAS MADE WHEN THE AMERICAN BOARD OF RADIOLOGY FOUNDATION WAS FORMED. SCHEDULE A, PART IV, SECTION A, LINE 3C ENSURING USE OF SUPPORT: THE AMERICAN BOARD OF RADIOLOGY FOUNDATION IS ORGANIZED EXCLUSIVELY TO SUPPORT AND CARRY OUT THE CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES OF THE AMERICAN BOARD OF RADIOLOGY. COMMON BOARD MEMBERSHIP ENSURES THE OBJECTIVES OF THE ORGANIZATION ARE ADHERED TO. true THE AMERICAN BOARD OF RADIOLOGY 5441 E WILLIAMS CIRCLE TUCSON AZ 85711 410773787 501(C)(6) 17130 CERTIFICATION OUTREACH SYMPOSIA ABMS RESEARCH AND EDUCATION FOUNDATION 353 N CLARK ST STE 1400 CHICAGO IL 60654 237304902 501(C)(3) 12500 SCHOLARSHIP PROGRAM NATL COUNCIL ON RADIATION PROTECTION & MEASUREMENT 7910 WOODMONT AVE STE 905 BETHESDA MD 20814 520906696 501(C)(3) 20000 PATIENT SHIELDING IN MEDICAL IMAGING 2 1 SCHEDULE I, PART I, LINE 2 PROCEDURES TO MONITOR THE USE OF GRANT FUNDS IN THE U.S.: GRANT RECIPIENTS ARE DETERMINED BY THE BOARD AND THE FORMAL APPROVAL IS NOTED IN THE MINUTES. AS THE FOUNDATION PROVIDES GRANTS TO A RELATED ORGANIZATION THAT SHARES THE SAME BOARD, THE USE OF THE FUNDS BY THE AMERICAN BOARD OF RADIOLOGY IS MONITORED BY THE BOARD. GRANTS GIVEN TO OTHER ORGANIZATIONS ARE GIVEN FOR A SPECIFIC PURPOSE, BUT THERE ARE NO FORMAL MONITORING PROCEDURES FOR THESE FUNDS. false true false false false false false false false BRENT WAGNER MD EXECUTIVE DIRECTOR 0 700960 0 0 0 396 0 54440 0 14090 0 769886 KELLY CRANDALL FINANCE DIRECTOR 0 167366 0 170 0 138 0 17067 0 6872 0 191613 SCHEDULE J, PART I, LINE 3 ESTABLISHING COMPENSATION: THE AMERICAN BOARD OF RADIOLOGY, A RELATED ORGANIZATION, ESTABLISHES COMPENSATION FOR ITS EXECUTIVE DIRECTOR BY AN INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION COMMITTEE, COMPENSATION SURVEY OR STUDY, AND BY APPROVAL OF THE BOARD OR COMPENSATION COMMITTEE. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: THE AMERICAN BOARD OF RADIOLOGY, A RELATED ORGANIZATION, MAINTAINS A SECTION 457(F) PLAN. BRENT WAGNER, MD PARTICIPATES IN THE 457(F) PLAN, BUT DID NOT RECEIVE ANY PAYMENTS FROM THE PLAN DURING THE TAX YEAR. CONTRIBUTIONS TO THE PLAN TOTALING $8,440 WERE MADE DURING THE YEAR AND ARE REFLECTED IN HIS DEFERRED COMPENSATION. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS: THE AMERICAN BOARD OF RADIOLOGY IS THE SOLE MEMBER OF THE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS WITH POWER TO APPOINT ONE OR MORE MEMBERS OF GOVERNING BODY: THE AMERICAN BOARD OF RADIOLOGY HAS THE POWER TO APPOINT OR REMOVE ANY MEMBERS OF THE BOARD OF DIRECTORS FOR THE FOUNDATION. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW FORM 990: THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM FOLLOWING THE COMPLETION OF AN AUDIT OF FINANCIAL STATEMENTS. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD FOR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: POTENTIAL CONFLICTS ARE REVIEWED ANNUALLY AT A MEETING OF THE BOARD OF GOVERNORS. IF A CONFLICT IS FOUND TO EXIST, THE CONFLICTED MEMBER RECUSES THEMSELVES FROM RELATED DISCUSSIONS. FORM 990, PART VI, SECTION C, LINE 18 & 19 AVAILABILITY OF DOCUMENTS: THE FORM 990 AND 1023, CONFLICT OF INTEREST POLICY, BYLAWS AND ANNUAL SUMMARY FINANCIAL STATEMENTS ARE AVAILABLE ON THE ABR'S WEBSITE. FORM 990, PART VI, SECTION A, LINE 1A DELEGATION OF AUTHORITY: THE PRESIDENT AND PRESIDENT ELECT HAVE AUTHORITY TO MAKE DECISIONS OUTSIDE OF REGULAR BOARD MEETINGS. THE AMERICAN BOARD OF RADIOLOGY 5441 E WILLIAMS CIRCLE TUCSON AZ 85711 410773787 CERTIFICATION DC 501(C)(6) N/A NA false false true false false false false false false false false false false false true true true false false false