2018 AAOS Orthopaedic Chairman John T. Gill, MD [email protected] PAC Annual Report 317 Massachusetts Ave, N.E. Washington, DC 20002 Table of Contents

Letter from your Orthopaedic PAC Chair...... 1 2018 Orthopaedic PAC Executive Committee...... 2 Financial Highlights...... 3 PAC Criteria for Giving...... 6 Political Disbursements...... 7 2018 Election Recap...... 11 Orthopaedic PAC Programs...... 12 Expanding the PAC’s Political Footprint ...... 14 2018 PAC Comparisons by State...... 16 2018 Donor Thank You...... 17 2018 In Review: Federal Legislative Accomplishments...... 23 Residents in Action...... 25

ACCESS. INFLUENCE. VICTORIES. Letter from Your Orthopaedic PAC Chair

Dear Colleague, It’s official! Orthopaedic PAC has reached its best two-year cycle in our history. We hit our $4 million goal and saw 15% growth from our previous cycle, a truly incredible feat. In addition to our outstanding fundraising growth, we saw a tremendous increase in our political footprint through engagement with state and federal lawmakers. In the 2018 election cycle, we supported over 320 candidates and Members of Congress, with a win rate of 90% in the House and 86% in the Senate. We also attended 1,200 events in DC and 120 events in-district, more than a 25% increase. We are the most active and unified PAC in the entire physician community—we have the best participation rate and are THE largest health care disburser! Together, with your support, we made history.

Your incredible support allowed us to fight for some big wins for the house of orthopaedics. In 2018, the Independent Payment Advisory Board (IPAB) was repealed and the Children’s Health Insurance Program (CHIP) was reauthorized for ten years. The Sports Medicine Licensure Clarity Act, an AAOS led bill, was also signed into law this year. This bill provides legal protection for team physicians traveling across state lines. Throughout the past year, we have made great headway on reducing regulatory burdens to preserve the doctor-patient relationship. We have also made great progress on medical liability reform and on repealing the ban on physician owned hospitals. We will continue to fight hard for these issues, and more, in the new Congress.

The 116th Congress will certainly look a lot different than the last, with over 90 new members. The new Congress will bring new challenges, as well as exciting opportunities. With a divided government, there is little chance that any controversial or partisan ideas will become law; however, many of the bills passed this Congress will serve as blueprints for future legislation that could be signed into law. This is our opportunity to make a mark on these bills while they are in their foundational stage.

I would like to give a special thank you to the members of the Orthopaedic PAC Executive Committee, named in this report, who set our electoral strategy and priorities, in addition to raising money for the PAC. The guidance of a diverse and hard-working PAC Board ensures that your dollars are spent wisely to advocate effectively for the entire orthopaedic specialty.

Thank you to every one of you who have supported the Orthopaedic PAC this cycle. Every AAOS member, as well as our patients, benefits from having a strong and vibrant political action committee. In 2019, we will celebrate the 20th Anniversary of the PAC and I encourage all PAC members to renew their support. Watch for our “Twenty for Twenty” program. And to those who have never joined the PAC: there is no time like today. Let’s continue make our voice heard on Capitol Hill together.

Sincerely,

John T. Gill, MD Chairman, Orthopaedic PAC Capitol Club Member

2018 ANNUAL REPORT 1 2018 Orthopaedic PAC Executive Committee

The Orthopaedic PAC is fortunate to have dedicated leaders throughout the AAOS who govern the direction of the PAC. We thank them for their ongoing support and leadership.

The PAC executive Committee, meets one to two times face-to-face annually and meets many times by conference call throughout the year. The PAC executive Committee sets our giving strategy and political priorities. Priorities for the 2017–2018 cycle included increasing our soft/ corporate dollars, increasing resident participation in the PAC, and increasing specialty participation, as well as further development of a peer- to-peer solicitation program.

John T. Gill, MD Dirk Alander, MD Chairman Chair-Elect, Board of Specialties Dallas, TX Danville, PA

Douglas Lundy, MD Adolph (Chick) Yates, MD Treasurer At-Large Member Atlanta, GA Pittsburgh, PA

Ronald Delanois, MD Frederic Liss, MD Secretary At-Large Member Baltimore, MD Limerick, PA

Amy Ladd, MD Jacob Calcei, MD Chair, Board of Specialties Resident Member Redwood City, CA New York, NY

Wilford Gibson, MD Claudette Lajam, MD Chair, Council on Advocacy Chair, Advocacy Resources Committee Norfolk, VA New York, NY

Basil Besh, MD Cassim Igram, MD Chair, Board of Councilors Chair, State Legislative and Fremont, CA Regulatory Issues Committee Iowa City, IA Robert Orfaly, MD Chair-Elect, Board of Councilors Tom Arend Portland, OR Ex-Officio Member Rosemont, IL Joseph Bosco, MD Second Vice President Stacie Monroe New York, NY Staff Liaison Washington, DC

2 Access. Influence. Victories. | AAOS ORTHOPAEDIC PAC Financial Highlights

While receipts are annual, elections are reported on a two-year cycle. It is critical our members support on an annual basis. The Orthopaedic PAC closed 2018 with over $2M, and $4M for the cycle, a 15% growth from the previous election cycle. In comparison, we saw receipts at over $3.4 million for the 2015–2016 cycle, and $3.5 for the 2013–2014 cycle.

ndividuals can contribute up to $5,000 to a PAC per calendar year. Corporate I contributions (soft receipts) include ORTHOPAEDIC PAC SEES 15% GROWTH checks and credit cards processed on a $4,000,000 physician’s business account including LLC, 2017–2018: PC, or Inc. Personal contributions (hard $3.992M receipts) are checks and credit cards from a $3,000,000 physician’s personal account. All contributions to the Orthopaedic PAC—whether written on 2015–2016: $2,000,000 a personal or business (corporate) check—are $3.46M welcome and important. However, corporate contributions can only be used for PAC- related operational expenses, independent $1,000,000 2013–2014: expenditures and state activities. Only those contributions written on a personal check $3.56M can be used to support federal political $0 candidates—and it is these contributions that 2014 2016 2018 help make the Orthopaedic PAC powerful.

ORTHOPAEDIC PAC TOTAL RECEIPTS

Election Cycle 2005–06 2007–08 2009–10 2011–12 2013–14 2015–16 2017–18

Hard Receipts $1,915,700 $2,277,000 $2,951,100 $2,738,200 $2,508,800 $2,565,600 $2,531,100

Soft Receipts $759,357 $1,016,087 $880,473 $951,049 $1,018,804 $895,000 $1,462,500

TOTAL $2,675,057 $3,293,087 $3,831,573 $3,689,249 $3,527,604 $3,460,600 $3,993,600

RECEIPTS & PARTICIPATION ANNUALIZED

Hard Dollars In Participation Soft Dollars In Participation 2018 $825,000 726 2018 $1.26M 2,768 Orthopaedic PAC enjoys 2017 $1.26M 2,808 2017 $637,000 806 a 28% participation rate 2016 $1.26M 2,842 2016 $506,000 1,166 this cycle, with over

2015 $1.34M 2,782 2015 $391,000 788 5,000 physicians joining our team 2014 $1.29M 2,860 2014 $475,000 983

2013 $1.21M 2,787 2013 $543,000 1,103

2012 $1.45M 2,830 2012 $483,000 1,031

2018 ANNUAL REPORT 3 THE ORTHOPAC ADVISOR’S THANK YOU TO OUR 2018 ADVISOR’S CIRCLE MEMBERS CIRCLE IS THE AAOS’ PREMIER PAC CORPORATE DONOR PROGRAM.

The Orthopaedic PAC Advisor’s Circle is a corporate* donor program designed to provide AAOS Members’ group practices and sub-specialties with a leadership role within the Political Action Committee of the American Association of Orthopaedic Surgeons (Orthopaedic PAC). The Advisor’s Circle also maximizes political and legislative opportunities for each group on a personalized basis. When the program launched two and a half years ago, we could not have imagined the success it would foster or the positive impact it would have on our legislative and regulatory advocacy efforts. Today, it is 16-groups strong and has a 100 percent member retention rate.

Orthopaedic PAC Advisor’s Roundtable offers orthopaedic group practices affiliated with AAOS Members the ability to bring their particular expertise to the political process to help drive the advocacy agenda of the American Association of Orthopaedic Surgeons. The PAC Advisor’s Roundtable advises the Orthopaedic PAC Executive Committee on initiatives that directly impact orthopaedic surgery.

The Orthopaedic PAC Advisor’s Roundtable In addition to these generous supporters, AAOS also extends thanks to the AOFAS for meets annually to bring forth action items to increasing their investment and support in our advocacy efforts. the PAC Executive Committee, collectively nominate one advisor to serve on the PAC Executive Committee, and weigh in on critical *Corporate donations from orthopaedic group practices and sub-specialties will be deposited into our PAC political issues. general treasury account and used to offset the PAC’s administrative and fundraising expenses. There are no limitations on the amount of the donation made by an orthopaedic group practice.

ORTHOPAEDIC PAC POLITICAL DISBURSEMENTS $3,000,000 HARD $ DISBURSEMENTS $2,500,000

$2,000,000

$1,500,000

$1,000,000

$500,000

$0 2006 2008 2010 2012 2014 2016 2018

Election Cycle 2005–06 2007–08 2009–10 2011–12 2013–14 2015–16 2017–18

Hard Receipts $1,915,000 $2,277,000 $2,951,100 $2,738,000 $2,508,000 $2,638,000 $2,532,000

Disbursements $1,778,100 $1,703,800 $2,025,500 $2,552,000 $2,879,300 $2,576,000 $2,695,000

4 Access. Influence. Victories. | AAOS ORTHOPAEDIC PAC Financial Highlights continued

POLITICAL DISBURSEMENTS BY PARTY 80% DEMOCRATS REPUBLICANS 70%

60%

50%

40% You can’t spell 30% ORTHOPAEDIC 20% without an R, D or I!

10%

0 2008 2010 2012 2014 2016 2017 2018

DISBURSEMENTS The Orthopaedic PAC supported over 320 PAC Disbursements by Political Party In the 2017–2018 cycle, the PAC disbursed incumbents and candidates, leadership The Orthopaedic PAC supports members of over $2.6M to Members of Congress PACs and party committees in the US House Congress and candidates for federal office and candidates for office supportive of and Senate. We also are members of both who understand the issues orthopaedic orthopaedic issues. Overall by both dollars the Republican and Democrat Governors surgeons face on a daily basis, and who will and number of candidates supported, our Associations to increase Orthopaedic PAC’s be sensitive to these concerns in office. The giving rounds out to 67% Republicans and reach and access in the states. Although PAC is a nonpartisan entity that contributes 33% Democrats. Our giving fluctuates as AAOS PAC is a federal PAC, we also recognize to Democrats, Republicans and party seats of power shifts. We support members the battles taking place in the states. We committees who share and support the of Congress not by the letter after their are always working to increase our political views of the AAOS. name, but rather their record and ability to footprint and have invested in giving through support musculoskeletal matters. the gubernatorial committees, and new this year, the state party committees. The policy Priorities for the 2017–2018 were based on conversations will occur whether we are in the the PAC Executive Committee Criteria for room, or not, and we have made it our priority giving, as noted below. These priorities as to be at the table and not on the menu. Formed in 1999 our PAC is discussed and reaffirmed annually by the one of the largest association PAC Executive Committee and are weighted This midterm election cycle we have by committee type and issue relevance to PACs in the nation and is the largest shifted our participation into high gear, the orthopaedic community. health care PAC by disbursements, and attending over 1,200 events in Washington, DC, second largest by total dollars raised. a 25% increase, over 120 in the congressional We have the highest participation rate PAC Disbursements: 2007–2017 district, a 56% increase, hosting over 125 The chart on page 4 represents total events for our orthopaedic champions, a nearly across all hc PACs and now raise a Orthopaedic PAC disbursements to federal 90% increase and attending 57 Congressional respectable $4M a cycle. candidate committees ranging from retreats, a 100% increase from last election the 2005–2006 election cycle through cycle. Every dollar we spend is an investment. December 31, 2018.

The AAOS has an unblemished reputation and is recognized as a political powerhouse in our nation’s Capital. Legislators, regulatory agencies, coalitions, other physician organizations and party committees recognize our clout and seek our input. Our political operation is sophisticated with deep connections with legislators and physician activists. AAOS is everywhere. In a tumultuous political environment, you must have a presence to be heard. Our voice is the AAOS Orthopaedic Political Action Committee (PAC).

2018 ANNUAL REPORT 5 PAC Criteria for Giving

The Orthopaedic PAC carefully considers many factors before contributing to federal candidates and legislators. PAC decisions are based only on advocacy issues as directed by the AAOS Council on Advocacy which includes specialty society representation. The PAC Executive Committee is guided by a specific document edited each election cycle outlining criteria for making political contributions. Among these criteria are committee assignments, leadership positions, accessibility in Washington and in the state/district, and most importantly, positions on orthopaedic issues.

andidates that fall outside of the (PAC), the only PAC in Washington, D.C., largest health care PACs, the Orthopaedic established criteria are carefully dedicated to solely representing and fighting PAC does not endorse or support presidential C reviewed by the PAC Executive for orthopaedic surgeons on Capitol Hill. or vice-presidential campaigns. Instead, Committee ensuring PAC money is put Orthopaedic PAC funds are directed to where it will best represent the profession. The Orthopaedic PAC’s tiered structure for House and Senate races, which provide As a PAC member, we value your input on political giving ranks issues, leadership, more visibility and access. these decisions. The insights and viewpoints committees with key health jurisdiction, and of our contributors are always welcome and physician relationships. Every contribution is Our PAC is the driving vehicle for our play a vital role in the decision to support a determined, with thoughtful consideration, legislative success. The PAC opens doors candidate or officeholder. by the AAOS office of government relations, and offers unprecedented access to PAC Chair, and the PAC Executive Committee. lawmakers. We are extremely disciplined In addition to advancing legislative and This election season, the Orthopaedic PAC in our giving, only delivering our support in- regulatory priorities, the American Association invested more than $1.1 million toward person, and only based on causes relevant of Orthopaedic Surgeons (AAOS) supports candidates from both political parties who to our specialty. pro-surgeon candidates through the are important to the orthopaedic specialty, Orthopaedic Political Action Committee often on different issues. Although one of the

ACCESS. INFLUENCE. VICTORIES.

6 Access. Influence. Victories. | AAOS ORTHOPAEDIC PAC Political Disbursements

US SENATE Name Party State 2017–2018 PAC CRITERIA FOR GIVING Alexander, Lamar R TN Baldwin, Tammy D WI Tier One Tier Two Tier Three Blackburn, Marsha R TN Braun, Mike R IN Tier one includes Tier two includes Tier three includes orthopaedists running incumbent members all other members Brown, Sherrod D OH for Congress and of Congress on other of Congress and Capito, Shelley Moore R WV incumbent members of committees which PAC requests. Carper, Thomas D DE Congress on key health may handle important • Special requests care related committees. healthcare issues. Casey, Bob D PA from the orthopaedic Cassidy, Bill R LA • Orthopaedic surgeons • House Veterans community/ running for Congress Affairs Committee PAC contributors Collins, Susan R ME • House and • House Judiciary • House Science and Coons, Chris D DE Senate leadership Committee Technology Committee Corker, Bob R TN • Key Healthcare • Senate Judiciary • House Small related committees: Committee Business Committee Cruz, Ted R TX —— House Ways and • House Education and • Senate Special Daines, Steve R MT Means Committee Workforce Committee Committee on Aging Durbin, Richard D IL —— House Energy • Other Leadership PACs Ernst, Joni R IA and Commerce • Independent Committee Expenditures Feinstein, Dianne D CA —— House Gardner, Cory R CO Appropriations Hatch, Orrin R UT Committee Heinrich, Martin D NM —— House Armed Services Heller, Dean R NV —— Senate Finance Housley, Karin R MN Committee Jenkins, Evan R WV —— Senate Health Education Labor and Kaine, Tim D VA Pensions Committee Klobuchar, Amy D MN • Physician members Lankford, James R OK of Congress Lee, Mike R UT • Party Organizations • Caucus PACs McCaskill, Claire D MO • Leadership PACs McConnell, Mitch R KY for Key Legislative Murphy, Chris D CT Champions Murray, Patty D WA Nelson, Bill D FL Olszewski, Albert R MT Paul, Rand R KY Portman, Rob R OH We are the number Rokita, Todd R IN Stabenow, Debbie D MI one health care disburser Strange, Luther R AL amongst all PACs. Thune, John R SD Tillis, Thom R NC Wicker, Roger R MS

2018 ANNUAL REPORT 7 Political Disbursements continued

U.S. HOUSE OF REPRESENTATIVES

Name Party State Name Party State Name Party State Abraham, Ralph R LA Cole, Thomas R OK Gonzalez, Anthony R OH Aguilar, Pete D CA Collins, Christopher R NY Gonzalez, Julio R FL Allen, Rick R GA Comstock, Barbara R VA Gooden, Lance R TX Arrington, Jodey R TX Conyers, John D MI Gosar, Paul R AZ Babin, Brian R TX Correa, J. Luis D CA Granger, Kay R TX Bacon, Donald R NE Costello, Ryan R PA Graves, Garret R LA Baird, James R IN Courtney, Joseph D CT Graves, Tom R GA Balderson, Troy R OH Cramer, Kevin R ND Green, Gene D TX Banks, James R IN Crist, Charles D FL Green, Mark R TN Barr, Andy R KY Crowley, Joseph D NY Griffith, Morgan R VA Barton, Joe R TX Culberson, John R TX Grothman, Glenn R WI Bera, Ami D CA Curbelo, Carlos R FL Guthrie, Brett R KY Beyer, Don D VA Davis, Danny D IL Hammond, Scott R NV Bilirakis, Gus R FL Davis, Rodney R IL Handel, Karen R GA Bishop, Michael R MI Davis, Susan D CA Harkey, Diane R CA Bishop, Sanford D GA DeGette, Diana D CO Harper, Gregg R MS Black, Diane R TN Delauro, Rosa D CT Harris, Andy R MD Blum, Rod R IA DelBene, Suzan D WA Harris, Mark R NC Blumenauer, Earl D OR Demings, Valdez D FL Heck, Denny D WA Blunt Rochester, Lisa D DE Denham, Jeff R CA Hensarling, Jeb R TX Brady, Kevin R TX Dent, Charlie R PA Higgins, Brian D NY Brindisi, Anthony D NY Dingell, Debbie D MI Higgins, Clay R LA Brooks, Mo R AL Doggett, Lloyd D TX Hill, Judson R GA Brooks, Susan R IN Donovan, Daniel R NY Holding, George R NC Brown, Anthony D MD Doyle, Michael D PA Hollingsworth, Trey R IN Brownley, Julia D CA Duncan, Jeff R SC Hoyer, Steny D MD Buchanan, Vern R FL Dunn, Neal R FL Hoyer, Steny D MD Buck, Ken R CO Emmer, Tom R MN Hudson, Richard R NC Bucshon, Larry R IN Engel, Eliot D NY Huizenga, Bill R MI Burchett, Tim R TN Eshoo, Anna D CA Hunter, Duncan R CA Burgess, Michael R TX Esty, Elizabeth D CT Hurd, Will R TX Bustos, Cheri D IL Fareed, Justin R CA Jackson Lee, Sheila D TX Bustos, Cheri D IL Faso, John R NY Johnson, Bill R OH Byrne, Bradley R AL Ferguson, A. Drew R GA Johnson, Mike R LA Carter, Buddy R GA Ferrara, Steve R AZ Jones, Walter R NC Carter, John R TX Fitzpatrick, Brian R PA Joyce, Dave R OH Cartwright, Matt D PA Flores, Bill R TX Joyce, John R PA Case, Edward D HI Foster, Bill D IL Kaptur, Marcy D OH Castor, Kathy D FL Foxx, Virginia R NC Katko, John R NY Castro, Joaquin D TX Frelinghuysen, Rodney R NJ Keating, William D MA Chu, Judy D CA Gaetz, Matt R FL Kelly, Mike R PA Clark, Katherine D MA Gallagher, Michael R WI Kelly, Robin D IL Clarke, Yvette D NY Gallego, Ruben D AZ Kilmer, Derek D WA Clyburn, James D SC Gianforte, Greg R MT Kind, Ron D WI Coffman, Mike R CO Gohmert, Louie R TX Kinzinger, Adam R IL

8 Access. Influence. Victories. | AAOS ORTHOPAEDIC PAC Political Disbursements continued

Name Party State Name Party State Name Party State Kirkpatrick, Ann D AZ Nunes, Devin R CA Smith, Adrian R NE Krishnamoorthi, Raja D IL O'Halleran, Tom D AZ Smith, Jason R MO Kuster, Ann D NH Olson, Pete R TX Smith, Lamar R TX Kustoff, David R TN Pallone, Frank D NJ Smucker, Lloyd R PA Lahood, Darin R IL Palmer, Gary R AL Soto, Darren D FL Lamborn, Doug R CO Pascrell, William D NJ Speier, Jackie D CA Lance, Leonard R NJ Paulsen, Erik R MN Stauber, Pete R MN Larson, John D CT Pelosi, Nancy D CA Stefanik, Elise R NY Latta, Bob R OH Perry, Scott R PA Stivers, Steve R OH Lawrence, Brenda D MI Peters, Christopher R IA Suozzi, Thomas D NY Lee, Barbara D CA Peters, Scott D CA Swalwell, Eric D CA Levin, Sandy D MI Pittenger, Robert R NC Takano, Mark D CA Lewis, John D GA Poliquin, Bruce R ME Tarkanian, Danny R NV Lieu, Ted D CA Posey, Bill R FL Taylor, Scott R VA Long, Billy R MO Reed, Tom R NY Thompson, Bennie D MS Loudermilk, Barry R GA Reed, Tom R NY Thompson, Mike D CA Love, Mia R UT Reichert, Dave R WA Thornberry, Mac R TX Lowenthal, Alan D CA Renacci, James R OH Tiberi, Pat R OH Lowey, Nita D NY Reschenthaler, Guy R PA Tipton, Scott R CO Luetkemeyer, W. R VA Rice, Tom R SC Tonko, Paul D NY Lujan, Ben D NM Richmond, Cedric D LA Trahan, Lori D MA MacArthur, Tom R NJ Roby, Martha R AL Upton, Frederick R MI Marchant, Kenny R TX Rogers, Hal R KY Van Drew, Jeff D NJ Marshall, Roger R KS Roskam, Peter R IL Veasey, Marc D TX Marshall, Roger R KS Ross, Dennis R FL Visclosky, Peter D IN Mast, Brian R FL Rothfus, Keith R PA Wagner, Ann R MO Matsui, Doris D CA Rouzer, David R NC Walberg, Tim R MI McCarthy, Kevin R CA Roybal-Allard, Lucille D CA Walden, Greg R OR McCaul, Michael R TX Ruiz, Raul D CA Walker, Mark R NC McCauley, Gregory R PA Ruppersberger, C.A. D MD Walorski, Jackie R IN McHenry, Patrick R NC Rush, Bobby D IL Walters, Mimi R CA McMorris Rodgers, Cathy R WA Sanchez, Linda D CA Walz, Timothy D MN McNerney, Jerry D CA Scalise, Steve R LA Webster, Daniel R FL McSally, Martha R AZ Schneider, Bradley D IL Welch, Peter D VT Meadows, Mark R NC Schrader, Kurt D OR Wenstrup, Brad R OH Meehan, Patrick R PA Schrier, Kim D WA Westerman, Bruce R AR Meehan, Patrick R PA Schweikert, David R AZ Wilson, Joe R SC Meng, Grace D NY Scott, Austin R GA Wittman, Robert R VA Messer, Luke R IN Scott, David D GA Womack, Stephen R AR Miller, Mike R FL Sessions, Pete R TX Woodall, Rob R GA Mooney, Alexander R WV Sewell, Terri D AL Yarmuth, John D KY Moulton, Seth D MA Sheets, Kenneth R TX Yoder, Kevin R KS Mullin, Markwayne R OK Sherman, Brad D CA Young, David R IA Neal, Richard D MA Shimkus, John R IL Young, Don R AK Nelson, Carla R MN Simpson, Mike R ID Zeldin, Lee R NY Newhouse, Dan R WA Sinema, Kyrsten D AZ Norcross, Donald D NJ Slaughter, Louise D NY

2018 ANNUAL REPORT 9 Political Disbursements continued

LEADERSHIP PACS AND PARTY COMMITTEES

PAC Name Party PAC Name Party PAC Name Party Pioneer PAC R 21st Century Majority Fund R Eye of the Tiger PAC, The R Point PAC R 4MA PAC D First in Freedom PAC R Prairie PAC D A New Direction PAC D Forward Together PAC D Project West PAC R Adam Kinzinger Future 1st Fund for America's Future D R RAC PAC R Committee GENE PAC D Reclaim America R Alamo PAC R Giving Us Security PAC R Reed Victory Committee R America Works Committee R GRAPE PAC R Rely On Your Beliefs Fund R AMI PAC D Guardian Fund, The R Renewing the American Dream PAC D BackPAC D Health First R Republican Governors Association R Barrasso Fischer Victory Fund R Healthcare Freedom Fund R Republican Main Street Partnership R Believe in Life Liberty Yourself R Heartland Values PAC R Republican National Committee R BHY Committee R Heller High Water PAC R Rice America PAC R Blue Dog PAC, The D House Conservatives Fund R SAC PAC D Bridge PAC D John S Fund R Sasse PAC R Bringing America Together PAC R Jump into Action for Conservatives Buddy PAC R to keep our ideas elevated R Scalise Leadership Fund R Building America's Republican (Jackie PAC) Securing Every American's Liberty R R Representation (BARR PAC) Keystone America PAC D Shore PAC D Building and Restoring the LANK PAC R R STAPAC (Stand Tall America) R American Dream PAC LEE PAC R STEVE PAC R Bulldog Victory PAC R LEGPAC D Stivers Victory Committee R CA Luv Pac D Lone Star PAC R Team Marshall R Care America R M-BISH PAC R Team McHenry R Chesapeake PAC R Majority Committee PAC--MC PAC R Team Ryan R Citizens for Prosperity in America Making a Responsible Stand for R R Ted Cruz Victory Committee R Today CPAT Households in America PAC TENN PAC R CMR Political Action Committee R Making Business Excel PAC R Texas Freedom Fund R Common Sense Common Solution Making Investments Majority R R Toomey Prosperity Fund R Political Action Committee Insured (MIMI PAC) Tuesday Group PAC R Common Values PAC R McConnell for Majority Leader R Congressional Black Caucus Upton Victory R D McConnell Victory Committee R Pac (cbc-pac) Victory in November Election PAC More Conservatives McPAC R D Congressional Leadership Fund R (VINE PAC) National Republican R Victory Now PAC D Conservative Roundtable R Congressional Comm. Continuing America's Strength and VIEW PAC R R National Republican Security R Vote to Elect Republicans Now PAC Senatorial Committee R (VERN PAC) Deciding Critical Races PAC R New Deal PAC D Wells PAC D Defending Main Street R New Democrat Coalition PAC D Democratic Congressional (NDC PAC) Who Dat PAC D D Campaign Commitee New Energy PAC D Win in 2018 R Democratic Governors Association D New Pioneers PAC R Young Hoosier Victory Fund R Democratic National Committee D Nutmeg PAC D Democratic Senatorial Campaign D Palmer Victory Committee R Committee Peace Through Strength PAC R Doing Right - Results, Action, Unity, D Perimeter PAC D Leadership PAC PETE PAC R DUTCH PAC D

10 Access. Influence. Victories. | AAOS ORTHOPAEDIC PAC 2018 Election Recap

This past election cycle brought a unique set of challenges and opportunities. We saw large scale congressional retirements and resignations. With a PAC of our size and stature, we were able to get into open seats, invest and educate. In many races, our PAC doubled down, making friends early and paving the way for fruitful relationships in the future.

ith Democrats in control of the issue, it likely will be politicized ahead of the Orthopaedic PAC midterm recap House in the 116th Congress, upcoming 2020 presidential election. they are expected to introduce W Supported more than 320 candidates legislation that aligns with their campaign The makeup of key committees in the and members, including: goals. Americans also can expect some 116th Congress will change significantly, disagreement over Medicaid: Republicans especially in the House. Not only do the 75 percent of House will want to put the program on a “sustainable current ranking members assume the Appropriation members path,” whereas Democrats favor expansion. chairmanships, but in total, the House Committee on Energy and Commerce will 89 percent of Energy and A “Medicare for All” alternative, or added Commerce members public option, to the Affordable Care lose seven current members, and the House Act (ACA) becomes more likely with a Committee on Ways and Means will lose 12, 100 percent of Ways and Democratic-led House. Recent polling has most from the Republican side. Because the Means members makeup of the House committees depends shown that 70 percent of Americans—and females on the ratio of Republicans to Democrats 56 more than half of Democratic candidates in office, not all vacant Republican seats minorities in the House—support giving all citizens 44 will be filled. It is possible, therefore, that access to Medicare coverage. 8 challengers Republicans could add very few to no Lawmakers may find themselves addressing a additional members to the committee, court ruling overturning the popular mandate whereas Democrats are expected to add Invested in: 10–12. Additionally, because Rep. Peter that health insurance cover preexisting 25 open seats conditions. Democrats also are expected to Roskam (R-Ill.) lost his election, there will be a fight for the new ranking member position hold many oversight hearings in all policy 20 doctors for chairman of the House Ways and Means areas, including health care. However, with Subcommittee on Health. Republicans maintaining control of the White Had an overall general win rate of: House and the Senate, more controversial and As previously mentioned, with $4 million 90 percent in the House partisan ideas are not likely to be signed into dollars raised—a near $200,000 increase from law. Instead, many of the ideas introduced in our record-setting cycle in 2010 during the ACA 86 percent in the Senate the 116th Congress will end up as blueprints debate and a whopping $500,000 increase for future Congresses. from last cycle—AAOS and Orthopaedic PAC The Orthopaedic PAC is very pleased are ready for the new Congress. Although Republicans and Democrats with its win rates, especially given the historic number of congressional may agree on many key healthcare issues, Given this ongoing success, the Orthopaedic retirements. In 2018, the Republican their different approaches could mean PAC remains the nation’s largest provider PAC; party saw the most retirements since that incremental changes stand a better we were able to help many friends in the House 1930. Although AAOS did lose some chance than enactment of any major bill. and Senate and invested in candidates vying congressional allies, the Orthopaedic This includes finding solutions to combat for the substantial number of open seats. The PAC remains well positioned to the rising cost of prescription drugs, only requirement for the Orthopaedic PAC’s tackle its priorities and educate new empowering law enforcement to reduce support is that the candidates champion members of Congress on issues the flow of opioids and other illegal drugs, orthopaedic causes. The Orthopaedic PAC is important to orthopaedics. and addressing the increasing premiums nonpartisan and does not base its donations for individual health plans. Whatever the on a candidate’s party affiliation.

2018 ANNUAL REPORT 11 Orthopaedic PAC Programs

The PAC Executive Committee recommended the continuation and launch of three programs at the NOLC: the Hall Fame, the Black Card campaign (new), and the Rainmakers program (new).

2018 Hall “ ” Fame The final Hall O Fame inductee was the Last year at the NOLC, the Orthopaedic PAC University of Kentucky Residency Program. unveiled its newest donor recognition program: The University hit 100% resident participation the Hall O Fame. The Hall of Orthopaedic Fame, for three years running. Drs. Jeremy or the “Hall O Fame”, is a program geared at Burnham, Andrew Ryan and Kevin Cronin recognizing individuals or groups that go above accepted on behalf of the University for their and beyond to make sure our Orthopaedic efforts in education the future leaders on the PAC is fully funded by initiating and developing importance of advocacy. awareness, education and participation campaigns. Inductees are recognized by The Black Card having their picture placed on the Wall O The Black Card Campaign officially launched Fame in the office of government relations. in 2018 and was well-received. The The Orthopaedic PAC was excited to induct Orthopaedic Black Card is a membership its second class of Hall O Famers, who were card designed specifically for ourCapitol recognized by lifetime achievement (dollars Club members. It’s a sleek membership raised), peer to peer fundraising, resident card that doubles as an usb loaded with involvement, and group practice engagement. great information on our PAC. It’s a nice way to show our thanks to our most The first 2018 inductee was Dr. John generous donors, and in true black card Callaghan, a member that has spent his life form, showcases that there is NO LIMIT advocating for the orthopaedic specialty to what we can accomplish when we and has been one of the Orthopaedic PAC’s work together—and no annual apr ;). The most devoted donors. As Dr. Gill explained, Orthopaedic Black Membership Card is also “In his lifetime, he has given over $75,000 to tied to our state participation challenge. In the PAC, an annual $5K supporter. Now in 2018, we worked to “black out the map”. retirement, he is still maxing out to our PAC.” States that hit 21% and above or $100,000 or greater in receipts will be blacked out. Another inductee, the Georgia Board of See our state participation section to see Councilors, was honored for their “New Year’s how your state fared. Eve shakedown.” Through their mobile cause campaign, the Orthopaedic PAC received over 50 donations in just a few short hours. Drs. Daniel Guy, Wendell Duncan, Todd Schmidt, and, not pictured, Brad Bushnell graciously accepted the award on behalf of Georgia Board of Councilors.

A third inductee, OrthoIndy, was honored for their Orthopaedic PAC participation. “I am proud to announce that OrthoIndy is at 100% participation for the year,” Dr. Gill explained. “Every single ortho, every last one, contributed to our PAC this year, bringing in well over $30K in personal dollars to our PAC.” Dr. John Dietz accepted the award with gratitude on behalf of OrthoIndy.

Congratulations to OrthoIndy, the only large group in 2018 to hit a 100% participation

12 Access. Influence. Victories. | AAOS ORTHOPAEDIC PAC The Rainmakers improvement in PAC participation from A rainmaker is someone that generates new one year to the next. The states that are or additional donations by using innovative honored have emphasized the importance methods to increase our participation, of Orthopaedic PAC membership through sometimes by connecting with people their state leadership, coordinating efforts that have never supported our PAC, and with between their state societies and BOC sometimes by prompting current members representatives to achieve widespread PAC to donate more money. A rainmaker is participation. The Orthopaedic PAC was usually a key figure in our organization, not excited to recognize Delaware as the state merely a salesperson, but a leader who is with the highest PAC participation in 2017, highly regarded within the AAOS. There are coming in at 57%. This was Delaware’s many untapped resources in our profession, second year in a row receiving this award. rainmakers help increase the reach of Nevada was honored as the state with the our PAC. Special thanks to our inaugural most improved PAC participation, with an 2017–2018 class of rainmakers, the PAC 8% increase from 2016 to 2017. Executive Committee piloted the program PAC Chairman John Gill, MD led the awards, with great success. If you would like to saying “Emphasizing the importance of become a rainmaker, tools and staff await to participating in the PAC at the state level assist you. Please email [email protected] through education efforts and personal to join the elite list of leaders today! outreach requires dedication, commitment, 2018 OrthoPAC Participation Awards and most importantly, persistence. The states honored here today have Presented to Delaware and Nevada emphasized the importance of Orthopaedic On June 8, 2018 at the National Orthopaedic PAC membership throughout their state Leadership Conference (NOLC) in leadership, coordinating efforts between their Washington, DC, Political Action Committee state societies and BOC representatives to (PAC) Chairman, John T. Gill, presented achieve widespread PAC participation.” the Stuart L. Weinstein awards. These annual awards, established in 2013, For more information on how to increase PAC recognize the individual state with the participation in your state, or how to build highest PAC participation rate, as well as your own fundraising page, please contact the state that demonstrates the greatest [email protected] or 202.548.4150.

2018 CANDIDATE WORKSHOP The Orthopaedic PAC cohosted the 9th Annual Specialty Physician and Dentist Candidate Workshop November 30–December 1 at the Marriott Marquis in Washington, D.C. The event allows physicians and dentists, particularly those who utilize the medical community to enhance support across multiple specialties, interested in running for public office to learn more about the complex process and receive specific training on election science. The workshop generated approximately 50 physician and dentist specialty organization attendees, including several AAOS members. The workshop featured the best in the business in the campaign arena, including pollsters, campaign managers, fundraisers, and media gurus. Congresswoman-elect Kim Schrier, MD (D- WA-08), who the Orthopaedic PAC supported in the 2018 midterm election, delivered the workshop’s keynote address on what it was like to run (and win) for federal office. In addition to the guest speakers, the program included breakout sessions which explored campaign case studies and best practices aimed at leveraging health professionals’ commitment to public service at all levels of government.

2018 ANNUAL REPORT 13 Expanding the PAC’s Political Footprint

In 2018, the Orthopaedic PAC continued to host fundraising events for members of Congress who are dedicated to protecting access to specialty care and solving high priority issues. These events are held at the AAOS Office of Government Relations, in the AAOS Capital One Arena Suite, near Capitol Hill in Washington, DC, and back home in the Congressional District. Invitations are extended to a variety of corporate and Association PACs and individual physicians and key stakeholders in the community. By holding these events and reaching a broad range of industry professionals, our PAC helps facilitate events that raise larger contribution amounts for AAOS’ advocacy champions while promoting orthopaedic issues beyond the medical industry.

n addition to our individual support, Dr. Boustany, who previously served in these events have helped the AAOS raise Louisiana’s 3rd congressional district, echoed I well over $1,500,000 for over 150 key Dr. Gill’s comments, reiterating the need for members of Congress(s) throughout the doctors to be active in politics. Serving in his TOTAL DC 2017–2018 election cycle. new position as a DC consultant, and given FUNDRAISERS: 1200 his previous role in Congress as a physician The Orthopaedic Political Action on the powerful Ways and Means Committee, Committee (PAC) supports candidates for he was able to share his keen perspective on federal office who champion orthopaedic Congress and the Administration’s appetite TOTAL IN-DISTRICT issues and help advance the legislative for additional health reforms. EVENTS: 122 agenda of AAOS. The PAC worked extremely hard to elect and reelect 2018 Orthopaedic PAC orthopaedic surgeon-friendly candidates at Sub-Specialty Meetings in the 2018 midterm election. In fact, as This year the AAOS was consistently TOTAL HOSTED noted by Bloomberg, it was the biggest present at all the subspecialty meetings. contributor among medical provider PACs. The Orthopaedic Political Action Committee DC FUNDRAISERS: 125 (PAC) attended the sub-specialty society 2018 PAC Thank You Lunch meetings for the American Orthopaedic On Wednesday, March 7, the Orthopaedic Society for Sports Medicine (AOSSM), the TOTAL CONGRESSIONAL PAC hosted its Annual PAC donor Thank American Society for Surgery of the Hand You Lunch at the convention center. (ASSH), the American Orthopaedic Foot RETREATS: 57 Former Representative, Dr. Charles and Ankle Society (AOFAS), American Shoulder and Elbow Surgeons (ASES), Boustany addressed the 2017–2018 AAOS Orthopaedic Trauma Association (OTA) and Orthopaedic PAC members at the luncheon. the American Association of Hip & Knee Before introducing Dr. Boustany, Dr. Gill Surgeons (AAHKS). The Orthopaedic PAC provided members updates from the attended these meetings to build stronger relationships and further bind its partnerships Orthopaedic PAC, which is the only national with the sub-specialty societies. political action committee dedicated solely to representing orthopaedic surgeons before October of 2018, Orthopaedic PAC staff was Congress. At the time, the Orthopaedic PAC thrilled to attend the American Shoulder and had been actively working in many primaries Elbow Society’s (ASES) Annual Meeting. and orthopaedic friendly candidates like The meeting provided shoulder and elbow Dr. Julio Gonzalez. As Dr. Gill explained, the surgeons the opportunity to talk with Orthopaedic PAC’s work allows AAOS to Senator John Barrasso (R-WY) at a breakfast build stronger relationships with members event hosted by AAOS advocacy leaders of Congress, which in turn strengthens our Drs. Anthony Romeo, Frank Cordasco, advocacy efforts. Felix “Buddy” Savoie, Christopher Schmidt,

14 Access. Influence. Victories. | AAOS ORTHOPAEDIC PAC Joseph Abboud, Theodore Schlegel, Brad Washington, DC. To attend, members flashed Bushnell, Sameer Nagda, Keith Baumgarten, their Capitol Club Black cards at the entrance. and Pietro Tonino. Senator Barrasso was Beyond AAOS’s advocacy members, welcomed by a crowd of surgeons who congressional staff and over 25 members of thanked him for his continued efforts in Congress attended the reception, including Congress and for championing orthopaedic- Reps Drew Ferguson (R-GA), NRCC Chairman supported issues. Steve Stivers (R-OH), Dr. Ami Bera (D-CA), Gus Bilirakis (R-FL), Dr. Roger Marshall (R-KS) As Dr. Romeo stated during the introduction, and Raja Krishnamoorthi (D-IL). “I have had the privilege to get to know Senator Barrasso over the past few years, “The Orthopaedic PAC has grown to be one especially as our advocacy and partnership of the most recognizable and respected with the Orthopaedic PAC has increased. PAC’s in all of DC,” said Dr. Gill, PAC Senator Barrasso is our lone orthopaedic Chairman. “It is great to see our fellows surgeon in both chambers of the U.S. visiting with some of our closest friends on Congress and a tireless advocate for our the Hill and building lasting relationships. specialty and the patients we serve.” Not to mention, the excitement from the members of Congress to join the reception. Capitol Club Members Attend The Orthopaedic PAC has become a DC Reception formidable force, ready to meet the needs For the fourth year in a row, the National of its members through advocacy. This what Orthopaedic Leadership Conference (NOLC) the PAC is all about.” kicked off with the Orthopaedic Political Action Committee (PAC) congressional reception. To thank members of the To learn more about how to Orthopaedic PAC’s top donor level, the Capitol become a Capitol Club member, visit Club, for their generous support, over 125 www.aaos.org/pac. donors gathered on the roof of the W Hotel in

2018 ANNUAL REPORT 15 2018 PAC Comparisons by State

For more information on how to increase PAC participation in your state, or how to build your own fundraising page, please contact at [email protected] or 202.548.4150.

# of PAC Total # of AAOS Total % of PAC 2018 PAC Comparisons by State State Contributors Members Contributions Contributors Alabama 69 300 $52,470 23% Alaska 11 72 $7,470 15% Highest Percentage of PAC Contributors (2018) Arizona 47 384 $17,292 12% 1. Delaware—68% Arkansas 32 156 $14,555 21% California 270 2,318 $104,708 12% 2. Puerto Rico—64% Colorado 111 492 $29,215 23% Connecticut 81 330 $24,668 25% 3. District of Columbia—41% District of Columbia 16 39 $5,065 41% Delaware 39 57 $12,804 68% Florida 201 1,240 $119,285 16% Most Improved PAC Participation Georgia 152 614 $138,922 25% (2017 compared to 2018) Hawaii 29 93 $9,190 31% Idaho 17 144 $10,600 12% 1. Delaware—57% to 68% Illinois 119 839 $52,763 14% and Puerto Rico—53% to 64% Indiana 89 428 $51,651 21% (11% increase) Iowa 67 204 $26,137 33% Kansas 31 218 $16,125 14% 2. Alabama—14% to 23% (9% increase) Kentucky 57 245 $13,092 23% 3. Arkansas—14% to 21%, District of Columbia— Louisiana 57 329 $30,866 17% 34% to 41%, and North Dakota—21% to 28% Maine 6 108 $1,900 6% Maryland 89 508 $34,622 18% (7% increase) Massachusetts 67 537 $29,926 12% Michigan 80 537 $32,483 14% Minnesota 62 469 $30,108 13% Mississippi 29 142 $18,438 20% Missouri 45 394 $100,249 11% Montana 19 98 $9,850 19% Nebraska 39 160 $18,783 24% Nevada 25 162 $12,358 15% New Hampshire 21 128 $12,013 16% New Jersey 106 679 $49,715 16% New Mexico 19 104 $9,833 18% New York 318 1,278 $105,528 25% North Carolina 80 672 $41,777 12% North Dakota 14 50 $8,800 28% Ohio 89 759 $35,527 12% Oklahoma 24 189 $10,240 13% Oregon 43 317 $20,144 14% Pennsylvania 184 909 $264,298 20% Puerto Rico 43 67 $5,163 64% Rhode Island 19 92 $9,350 21% South Carolina 21 342 $10,186 6% South Dakota 26 87 $12,113 30% Tennessee 90 471 $62,339 19% Texas 168 1,483 $86,659 11% Utah 24 209 $9,235 11% Vermont 7 57 $2,700 12% Virgin Islands — 2 $0 —% Virginia 61 586 $126,369 10% Washington 69 537 $25,211 13% West Virginia 11 94 $4,050 12% Wisconsin 73 431 $30,353 17% Wyoming 9 59 $5,450 15%

16 Access. Influence. Victories. | AAOS ORTHOPAEDIC PAC 2018 Donor Thank You

THANK YOU TO ALL 2018 CAPITOL CLUB MEMBERS! Orthopaedic PAC Capitol Club In 2014 the Orthopaedic PAC unveiled its Capitol Club donor levels honoring the PAC’s highest donors. The PAC established the $5,000.00 $2,000.00 Capitol Club to recognize AAOS members who Joseph Abboud, MD Matthew Austin, MD Travis Kemp, MD contribute $1,000 or more on an annual basis Peter Bonutti, MD Robert Bass, MD Rodolfo Lawson, MD to the Orthopaedic PAC. Since its inception John Callaghan, MD Jeffrey Baum, MD Jason Lowry, MD over 2,100 members have joined or renewed Charles Hope II, MD David Berg, MD Theodore Macey, MD their membership in the Capitol Club program. Claudette Lajam, MD Alex Bodenstab, MD Theodore Manson, MD Frederic Liss, MD Brad Bruns, MD Louis Mariorenzi, MD In order to recognize these club members, William Maloney, MD William Carlson, MD Anthony Mollano, MD the PAC is committed to offering and Peter Mandell, MD Mark Colville, MD Thomas Muzzonigro, MD enhancing Capitol Club membership benefits Perry Savage Jr, MD Mark Coppes, MD Robert Myles, MD Umasuthan Srikumaran, Sophia Deben, MD Sameer Nagda, MD which currently include the following: MD, MBA Ronald Delanois, MD Ortho NY Marlene DeMaio, MD Christopher O'Grady, MD • Invitations to special Capitol Club events John DiPaola, MD Javad Parvizi, MD, FRCS for members and spouses or guests Thomas Dowling Jr, MD Michael Pollack, MD • Opportunities to attend exclusive $4,000.00 Paul Duwelius, MD J Port, MD local fundraising events with candidates William Levine, MD Mark Frankle, MD Matthew Ramsey, MD and officeholders Jonathan Garino, MD, MBA Michael Rauh, MD • Special "members-only" recognition event Jeffrey Ginther MD, FACS Richard Roberts, MD during the AAOS Annual Meeting Daniel Green, MD T Robinson, MD • Recognition in online and printed reports, James Guille, MD Ricardo Rodriguez, MD $3,000.00 including the AAOS website Daniel Guy, MD James Scott, MD Tal David, MD • Member briefings on legislation and Sanaz Hariri, MD Mark Snyder, MD Lawrence Dorr, MD Joel Horning, MD Bernard Stulberg, MD other issues David Hughes, MD Orrin Swayze, MD Charles Hummer III, MD Thomas Thomasson IV, MD Kade Huntsman, MD Krishna Tripuraneni, MD Wayne Johnson, MD Jerry Van Meter, MD Lowry Jones Jr, MD Mark Woolf, MD Robert Kayal, MD Robert Zehr, MD

$1,000.00 Duncan Ackerman, MD Douglas Avella, MD Robert Benz, MD Andrew Bries, MD Lisa Cannada, MD Michael Clain, MD Joseph Curtis Jr, MD Kent Adamson, MD Michael Ayers, MD Mark Bergin, MD Dante Brittis, MD David Cannon, MD Joseph Clark, MD Alan Dacre, MD Carl Adolph Jr, MD Henry Backe Jr, MD Gregg Berkowitz, MD Gary Brock, MD Michael Cantrell, MD David Clifford, MD Erica Dafford, MD Animesh Agarwal, MD Robert Baird III, MD Basil Besh, MD David Brokaw, MD Frank Capecci, MD John Clohisy, MD Brian Dahl, MD Dirk Alander, MD,MHA Champ Baker Jr, MD Richard Biama, MD Michael Bronson, MD Chad Carlson, MD Kevin Coates, MD, David Dalury, MD Todd Albert, MD Champ Baker III, MD David Bindelglass, MD Andrew Brooks, MD Gregory Carlson, MD MBA, MPT Dino Damalas John Albrigo, MD James Balaschak William Binder, MD Robert Brophy, MD Joseph Carlson, MD J Cockrell III, MD Chris Dangles, MD Kris Alden, MD, PhD Chris Bales, MD R Blasier, MD Barrett Brown, MD Gregory Carolan, MD J Coetzee, MD Bradley Dart, MD Joseph Alhadeff, MD George Balfour, MD Charles Blitzer, MD Gregory Brown, MD, PhD Joshua Carothers, MD Bruce Cohen, MD Stephen Davenport, MD Mark Allard, MD Larry Bankston Jr, MD Robert Blotter, MD Richard Bruch, MD Paul Carroll, MD Jason Cohen, MD Randall Davidson Jr, MD Marshall Allegra, MD J Banwart, MD Clifford Boese, MD Jacob Buchowski, MD, MS James Carson, MD Wayne Colizza, MD Charles Davis III, MD, PhD Chad Altmyer, MD James Barber, MD Bradford Boone, MD Jeffrey Budoff, MD Carter Cassidy, MD Patrick Collalto, MD Daniel Davis, MD Frank Aluisio, MD Thomas Barber, MD Kevin Booth, MD Robert Burks, MD Kenneth Catallozzi, MD Jose Collazo-Bonilla, MD Richard Davis, MD Annunziato Thomas Barbour III, MD Timothy Bopp, MD Sean Burns, MD Susan Cero, MD Paul Collins, MD Brian Davison, MD Amendola, MD C Barnes, MD Joseph Bosco III, MD David Burstein, MD David Chafey III, MD Michael Connair, MD Lisa Daye, MD Tanay Amin, MD John Barrasso, MD Michael Bourne, MD Matthew Busbee, MD Michael Champine, MD Jeffrey Conrad, MD Brian de Beaubien, MD Christian Andersen, MD William Barrett, MD Daniel Boyd, MD Brandon Bushnell, David Chandler, MD Charles Cook, MD Juliet De Campos, MD Lesley Anderson, MD R Barton, MD Eric Boyden, MD MD, MBA Jonathan Chang, MD Christopher Cooke, MD Leslie Dean, MD Robert Anderson, MD Rick Bassett, MD Paul Braaton, MD Dori Cage, MD Cary Chapman, MD Scott Cooper, MD Amalia DeComas, MD Jeffery Angel, MD Michael Battaglia, MD Drew Brady, MD John Callahan Jr, MD Jeffrey Charen, MD Stephen Cope, MD Craig Della Valle, MD Thomas Arend Jr, Vincent Battista, MD John Braun, MD Craig Callewart, MD Constantine Charoglu, MD Fred Corley, MD William DeLong Jr, MD Michael Aronow, MD Keith Baumgarten, MD Bryan Bredthauer, MD John Cambareri, MD George Chimento, MD William Craig, MD John Denton, MD David Attarian FAAOS, Thomas Baumgarten, MD Rodney Brenneman, MD Craig Cameron, DO Alan Christensen, MD James Crutcher Jr, MD Rahul Deshmukh, MD FAAOS, FACS Brian Bear, MD Glenn Brien, MD Julian A Cameron, MD William Cimino, MD Joseph Cullen, MD Manjit Dhillon, MD

2018 ANNUAL REPORT 17 2018 Donor Thank You continued

Edward Diao, MD David Glaser, MD Peter Hodges, MD Louis Kwong, MD Gregory Mencio, MD John Pryor, MD Jonathan Shook, MD Matthew DiCaprio, MD Jonathan Glashow, MD MaCalus Hogan, MD Neal Labana, MD J Mesko, MD David Pula, MD Kevin Shrock, MD Jeffrey Dick, MD Steven Glassman, MD Mark Hopkins, MD Paul Lachiewicz, MD Scott Meyer, MD James Purtill, MD David Sieger, MD Timothy Dicke, MD Philip Glassner, MD Clinton Howard IV, MD Amy Ladd, MD Brian Miller, MD Gary Pushkin, MD Lance Silverman, MD Kyle Dickson, MD John Gleason, MD James Howell, MD Gregory Lane, MD Howard Miller, MD Mario Quesada, MD James Slough, MD John Dietz, MD Alexander Glogau, MD Gregory Hrasky, MD Joseph Lane, MD Michael Millis, MD Scott Quisling, MD Eric Smith, MD Angelo DiFelice Jr, MD Reuben Gobezie, MD Joseph Hsu, MD Gerald Lang, MD Matthew Mitchell, MD James Rachel, MD Jeffrey Smith, MD Gregory Dikos, MD Colin Goggins, MD David Huang, MD Jeffrey LaPorte, MD Michael Momont, MD Steven Raikin, MD Barry Snyder, MD Michael Diment, MD Ariel Goldman, MD Fredrick Huang, MD John Larkin Jr, MD Bruce Monaghan, MD Nicholas Rajacich, MD Matthew Snyder, MD John DiPreta, MD Gregory Golladay, MD Charles Hubbard, MD Matthew Lavery, MD Eric Monesmith, MD Timmothy Randell, MD Rolf Sohlberg, MD Carl DiRaimondo, MD Julio Gonzalez, MD James Huddleston III, MD Brian Law, MD Thomas Montgomery, MD Linda Rasmussen, MD David Solacoff, MD Joseph DiRaimondo, MD Russell Goode, MD Paul Huddleston, MD Alan League, MD Bryan Moon, MD T Rasmussen, MD Jeffery Soldatis, MD Daniel Dixon, MD David Goodman, MD Paul Hughes, MD Michael Leddy, MD Daniel Moon, MD, Karl Rathjen, MD Frederick Song, MD Mark Dodson, MD Robert Gorab, MD William Humphreys, MD Thomas Lee, MD MBA, MS Raymond Raven MBA, MD Stephen Southworth, MD E Donner, MD Jamie Gottlieb, MD Suleman Hussain, MD Daniel Lehman, MD David Moore, MD Afshin Razi, MD Keith Spain, MD Bruce Douthit, MD Michael Gottschalk, MD Adam Hyatt, MD Elliott Leitman, MD David Morawski, MD Fred Redfern, MD Samantha Spencer, MD Paul Dowdy, MD Michael Granberry, MD Cassim Igram, MD Kenneth Levitsky, MD Robert More, MD J Reid, MD James Spiegel, MD Brian Drake, DO Michael Grant, MD Omer Ilahi, MD Andrew Levy, MD Bruce Moseley, MD John Reilly, MD Jack Drogt, MD David Graybill, MD Richard Iorio, MD Jonathan Levy, MD Claiborne Moseley, MD Regis Renard, MD Kathryne Stabile, MD, MS Samuel Dubrow, MD Brett Grebing, MD David Irvine, MD Edward Lilly III, MD Emmett Mosley, MD Kirk Reynolds, MD Scott Steinmann, MD J Duncan, MD Andrew Green, MD Joshua Jacobs, MD Matthew Lindaman, DO Michael Mott, MD John Richmond, MD Robert Sterling, MD Xavier Duralde, MD Robert Green, MD Jamil Jacobs-El, MD Neal Lintecum, MD Steven Mulawka, MD Mark Rieger, MD Gary Stewart, MD John Early, MD Jeffrey Greenberg, MD Jeremy James, MD Russell Linton, MD Brian Murphy, MD Timothy Risko, MD Nathaniel Stewart, MD Mark Easley, MD Perry Greene III, MD William James III, MD Glenn Lipton, MD Samuel Murrell III, MD Craig Roberts, MD, MBA Gregory Stocks, MD Richard Edelson, MD Alan Greenwald, MD James Jamison, MD Daniel Lister, MD Daniel Murrey, MD Karl Roberts, MD Edward Su, MD David Edelstein, MD Paul Gregory, MD Bradley Jelen, DO Joseph Locker, MD George Muschler, MD David Robie, MD William Sudduth, MD Todd Edmiston, MD Matthew Grimm, MD Randall Jennings, MD Adolph Lombardi Jr, MD Karen Myung, MD Anthony Roccisano, DO Michael Suk, MD Thomas Edwards, MD Adam Griska, MD Brian Jewett, MD Peter Looby, MD Jeffrey Nakano, MD John Rodgers, MD Patrick Sullivan, MD Henry Ellis Jr, MD Thomas Gross, MD William Jiranek, MD David Lopez, MD Cass Nakasone, MD Stephen Rodrigue, MD Bartlomiej Szczech, MD Daniel Emerson, MD Nicholas Grosso, MD Adam Johnson, MD Kurre Luber, MD Christopher Nanson, MD Jose Rodriguez, MD Sudeep Taksali, MD Cynthia Emory, MD, MBA Paul Grutter, MD Keith Johnson, MD Douglas Lundy, MD, MBA John Nash, MD Jose Rodriguez, MD Edward Tanner, MD Todd Engerson, MD Carlos Guanche, MD Paul Johnson, MD John Lunt, MD Ronald Navarro, MD David Rojer, MD Joseph Tauro, MD William Enright, MD Scott Gudeman, MD Pamela Jones, MD R Lutz, MD Suresh Nayak, MD Anthony Romeo, MD Jesse Templeton, MD Howard Epps, MD Daniel Guehlstorf, MD Michael Jordan, MD Dean Maar, MD Daniel Nelson, MD Louis Rose, MD David Teuscher, MD Michael Eslava, MD Benjamin Gulli, MD R Junius III, MD Philip Maddox, MD Graham Newson Benjamin N Michael Thieken, MD Chris Ethridge, MD Andrew Gurman, MD Benjamin Justice, MD Christopher Maender, MD Chris Nichols, MD Rosenberg, MD Jorge Tijmes, MD Daniel Farber, MD Edward Gutteling, MD David Kaehr, MD Craig Mahoney, MD Mark Noffsinger, MD Seth Rosenzweig, MD Gregory Tocks, DO Donald Faust, MD Dennis Gutzman, MD Randeep Kahlon, MD Brian Makhuli, MD Elizabeth Nolan, MD Richard Rothman, MD Pietro Tonino, MD Anthony Festa, MD Albert Haas, MD Christopher Kain, MD Neil Maki, MD Keith Nord, MD Alan Routman, MD Daniel Torres, MD Frederick Flandry, MD Donald Hackbarth Jr, MD Ken Kaminski, MD Stephen Malone, MD James Nunley II, MD S Rozbruch, MD Laura Tosi, MD Evan Flatow, MD Benjamin Hackett, MD Bryan Kamps, MD Andrew Manista, MD Thomas Obade Jr, MD Scott Rubinstein, MD Peter Townsend, MD Thomas Fleeter, MD Thomas Hackett, MD Andrew Kant, MD John Mann III, MD David Oberste, MD Michael Ruddy, MD Steven Triantafyllou, MD Leonard Fleske, MD Phillip Hagan, MD James Karegeannes, MD Paul Manner, MD Charles Odgers IV, MD James Rungee, MD Eeric Truumees, MD Evander Fogle, MD Robert Hagen, MD Danielle Katz, MD David Manning, MD Terrence O'Donovan, MD Robert Ruth, MD William Tucker Jr, MD James Foley, MD Mariam Hakim-Zargar, MD Timothy Kavanaugh, MD James Manning, MD James O'Leary, MD Guy Rutledge III, MD Joel Tupper, MD A Fontanetta, MD Mark Halikis, MD Bret Kean, MD David Mansfield, MD Patrick O'Leary, MD Adrian Ryan, MD Scott Forman, MD Lawrence Halperin, MD James Keeney, MD Michael Marandola, MD Matthew Olin, MD Andrew Ryan, MD Renny Uppal, MD W Foster, MD David Halsey, MD James Kelly II, MD Paul Marchetto, MD R Oliver, MD Andrew Saltzman, MD Thomas Vail, MD Austin Fragomen, MD William Hamilton, MD Robert Kelly, MD Steven Mardjetko, MD John Olsewski, MD Eduardo Salvati, MD James Vailas, MD Carl Freeman, MD Brian Hamlin, MD Corey Kendall, MD Anthony Marino, MD John O'Malley, MD Steve Salyers, MD Oscar Vazquez, MD Timothy Frerichs, MD Robert Hancock, MD John Kenerly III, MD Michael Marks, MD, MBA Eric Orenstein, MD Julie Samora, MD Andrew Veitch, MD William Frisella Jr, MD Adam Handwerger, MD E Kennedy, MD Joseph Martin, MD Robert Orfaly, MD James Sanders, MD Joseph Vernace, MD Jonathan Fuller, MD Mark Hanna, MD Thomas Kennedy, MD Thomas Martin, MD Todd Orvald, MD Steven Sanders, MD Brian Vickaryous, MD Kimberly Furry, MD Mark Harriman, MD Michael Khazzam, MD Lowell Mason, MD Tye Ouzounian, MD Kenneth Sands, MD Todd Volkman, MD John Gainor, MD Andrew Harrison, MD Douglas Kiburz, MD Richard Mason, MD Alexandra Page, MD Richard Santore, MD Gregory Vrabec, MD Brian Galinat, MD, MBA Donnis Harrison, MD Jacob Kidder, MD William Matarese, MD Andrew Palafox, MD Andrea Saterbak, MD Bradford Waddell, MD George Galjour, MD Robert Hartman, MD Yong Kim, MD Thomas Matelic, MD Rick Papandrea, MD C Satterlee, MD John Walker, MD Daniel Gallagher, MD Langdon Hartsock, MD Dirk Kiner, MD Chad Mathis, MD Peter Pardubsky, MD Felix Savoie III, MD Milton Wallace, MD David Gallagher, MD Mary Haus, MD Elspeth R E Kinnucan, MD Peter Matsuura, MD Andrew Park, MD Darrell Scales, MD Drew Warnick, MD James Gallentine, MD Kenneth Hawthorne, MD Brian Klatt, MD Elizabeth Matzkin, MD William Park III, MD Zachary Scheer, MD Michael Wasylik, MD Rajeev Garapati, MD Shawn Hayden, MD Steve Klepps, MD Wade McAlister, MD Brian Parsley, MD Harry Schmaltz, MD Kristy Weber, MD Aric Gardner, MD Ronald Hayter, MD Jason Koh, MD Jack McCarthy, MD Theodore Parsons III, Todd Schmidt, MD Timothy Weber, MD Richard Garner, MD John Healey, MD, FACS Frank Kolisek, MD John McClellan III, MD MD, FACS William Schnell, MD Richard Weinstein, MD Mark Garon, MD Robert Heaps, MD Christopher Stephen McCollam, MD Scott Paschal, MD Gary Schniegenberg, MD Stuart Weinstein, MD Timothy Garvey, MD Michael Heilig, MD Kontogianis, MD Blane McCoy, MD Mihir Patel, MD Perry Schoenecker, MD David Weisman, MD Joshua Gary, MD Colin Heinle, MD Robert Kramer, MD William McCraney, MD Milan Patel, MD Michael Schuck, MD Steven Wertheim, MD David Gay, MD Edward Hellman, MD John Krause, MD John McCrosson, MD Thomas Paynter, MD Jacob Schulz, MD James West III, MD Samuel Gerber, MD William Hennrikus Jr, MD Kenneth Kress, MD Patrick McCulloch, MD Jerome Perra, MD Roman Schwartsman, MD H Whitaker, MD COL. (ret) Tad John Herzenberg, MD Gregory Krivchenia II, MD Gregory McDowell, MD Bendt Petersen III, MD David Schwartz, MD William Wiley, MD Gerlinger, MD Alfred Hess, MD Chad Krueger, MD Dennis McGee, MD Paul Peterson, MD Anthony Scillia, MD Rick Wilkerson, DO Frank Giammattei, MD Carolyn Hettrich, MD, MPH Henry Krull, MD Brian McGinley, MD Pasquale Petrera, MD James Scoggin III, MD Gerald Williams Jr, MD Timothy Gibbons, MD William Higginbotham Richard Kube, MD Robert McGinley, MD Anthony Petrosini, MD Thomas Sculco, MD Charles Wilson IV, MD Wilford Gibson, MD III, MD John Kuhn, MD Joseph McGowin III, MD R Petty, MD Scott Scutchfield, MD Carey Winder, MD John Gill, MD Randall Hildebrand, MD K Kumler, MD, MBA John McGraw, MD Frank Phillips, MD William Seitz Jr, MD Albert Gillespy, MD Alan Hilibrand MBA, MD Bradley Kuzel, MD Patricia McHale, MD Troy Pierce, MD Alonzo Sexton II, MD Jeffrey Wint, MD Michael Gish, MD John Hinchey, MD Moody Kwok, MD Vincent McInerney, MD Eric Pifel, MD Hythem Shadid, MD Kent Woo, MD Richard McKean, MD Mark Pinto, MD William Shaffer, MD, BS Craig Wright, MD Patrick McMahon, MD Kenneth Polivy, MD William Shaffer Rory Wright, MD How to Join Stephen McNeil, MD Andrew Pollak, MD Roshan Shah, MD, JD Thomas Wright, MD Scott McPherson, MD David Polly Jr, MD Sameer Shammas, MD Ronald Wyatt, MD To join the Capitol Club today, simply text the letters Thomas McQuail, MD Joshua Port, MD Steven Shapiro, MD Demian Yakel, DO AAOS to 41444 and select the monthly $84 or quarterly Leon Mead, MD Gregory Poulter, MD John Sheehan, MD Adolph Yates Jr, MD $250 options, or visit www.aaos.org/pac and select Simon Mears, MD John Powell, MD Michael Sheen, MD Edward Yerger, MD Michael Meese, MD John Prather, MD Wen Shen, MD George Zambetti Jr, MD "Donate to the PAC" on the home page. Alfonso Mejia, MD, MPH Bonhomme Paul Sherbondy, MD Gary Zartman, MD Hector Mejia, MD Prud'homme, MD Raymond Sherman, MD Joseph Zuckerman, MD

18 Access. Influence. Victories. | AAOS ORTHOPAEDIC PAC 2018 Donor Thank You continued

Orthopaedic PAC Supporters Brian Aamlid, MD Henry Barnard II, MD Roger Blauvelt, MD Michael Campbell, MD Robert Coe, MD Jonathan Danoff, MD Roger Dunteman, MD Matthew Abdel, MD Frank Barnes, MD Brian Blessinger, MD Robert Campbell, MD Glenn Cohen, MD Ayman Daouk, MD Neil Duplantier, MD Jeffrey Abend, MD William Barnes, MD Samuel Blick, MD Peter Candelora, MD Jonathan Cohen, MD Shankar Das, MD Thomas Duquin, MD Robert Ablove, MD Robert Barnett Jr, MD David Blum, MD James Canedy, MD Mark Cohen, MD Robert DaSilva, MD Alfred Durham, MD Jeffrey Abrams, MD Jeffrey Baron, MD John Blute Jr, MD George Canizares, MD Nathaniel Cohen, MD Michael Daubs, MD John Durkan, MD David Abrutyn, MD Roland Barr, MD William Bodemer, MD Odest Cannon, MD Jeffrey Colbert, MD Ariel Davila-Parrilla, MD Michael Durkee, MD John Acampa, MD Robert Bartelt, MD Kamal I Bohsali, MD Jeffrey Cantor, MD Charles Cole Jr, MD Alexander Davis, MD Michael Dvorkin, MD Oliver Achleitner, MD Richard Barth, MD John Bojescul, MD Nicholas Capito, MD J Cole, MD Clinton Davis, MD Christopher Dy, MD, Gary Ackerman, MD Traci Barthel, MD Matthew Bollier, MD James Capozzi, MD Robert Coles, MD James Davis, MD MPH, FACS Jeffrey Ackman, MD Robert Bartosh, MD Steven Bond, MD Teresa Cappello, MD Andrew Collier Jr, MD Jason Davis, MD Daniel Dziadosz, MD Julie Adams, MD Evan Bash, MD Eric Bonenberger, MD Mark Carlson, MD David Collins, MD Jeffrey Davis, MD Jarvis Earl, MD Stephen Adcock, MD Jean Basta, MD Kevin Bonner, MD Robert Carlson, MD Geoffrey Collins, MD John Davis, MD Kenneth Easterling, MD Robert Adelaar, MD Aaron Bates, MD James Bono, MD Brian Carney, MD Sandra Collins, MD Robert Davis, MD Andrew Ebert, MD Gerard Adler, MD Thomas Bates, MD David Boone, MD Dylan Carpenter, MD Rolando Colon-Nebot, MD Stanton Davis Jr, MD Daniel Eby, DO Anthony Adrignolo III, MD G Bathon II, MD Andrew Borom, MD Dominic Carreira, MD Scott Colquhoun, MD William Davis, MD Stephen Eckrich, MD Amit Agarwala, MD Brian Battersby, MD Tomasz Borowiecki, MD Denny Carter, MD James Comadoll, MD Jeremiah Dawson, MD David Edelstein, MD Behrooz Akbarnia, MD Robert Bayless, MD Catherine Fred Carter II, MD Mark Conklin, MD Patrick Dawson, MD S Edelstein, MD Zohair Alam, MD Raj Bazaz, MD Boudreaux Hayes Ralph Carter III, MD Marc Connell, MD Michael Dean, MD Bradley Edgerton, MD Bruce Albert, MD Terry Beal, MD John Bowe, MD Thomas Carter, MD Brian Conroy, MD Ryan DeCoons, MD Eric Edmonds, MD Jeffrey Albert, MD Timothy Beals, MD William Bowen, MD Brett Casey, MD Neil Conti, MD Marc DeHart, MD John Eggers, MD, PhD Jay Albright, MD James Beaty, MD Ronald Bowman, MD Steven Casey, MD Alfred Cook, MD Jacob Deister, MD Kenneth Egol, MD Jess Alcid, MD Gilbert Beauperthuy, DO Bradley Boyd, DO Andrew Cash, MD Carol Copeland, MD Jonathan Deland, MD Josef Eichinger, MD A Alexander, MD Walter Beaver Jr, MD Mark Boytim, MD Christopher Casscells, MD Randolph Copeland, MD Anthony Delfico, MD Scott Ekroth, MD Richard Alfred, MD William Beazley, MD Matthew Brand, MD Ezequiel Cassinelli, MD Michael Corcoran, MD Eugene Douglas Elenz, MD Mark Allard, MD Bryce Bederka, MD Michael Brand, MD David Caucci, MD Stephen Cord, MD DellaMaggiore, MD Hossein Elgafy, MD William Allen, MD Timothy Beer, MD Jason Brandt, MD Robert Caveney, MD Frank Cordasco, MD Steven Dellose, MD Patrick Ellender, MD R Alley, MD Gregory Behm, MD Donald Breech, MD Russell Cecil, MD Simon Cornelissen, MD Peter DeLuca, MD Henry Ellis Jr, MD Meredith Allison David Bell, MD Luke Bremner, MD Franco Cerabona, MD Brig Gen (Ret) Kory Anthony DeLuise Jr, MD Scott Ellis, MD D Allyn, MD James Bell, MD Stephen Brenneke, MD Susan Chabot, MD Cornum, MD Lambro Demetriades, MD Thomas Ellis, MD Gregory Alvine, MD Robert Bell, MD Leigh Brezenoff, MD Joseph Chalal, MD John Corsetti, MD William DeMuth, MD Michael Ellman, MD Peter Amadio, MD Todd Bell, MD Andrew Brief, MD David Chalnick, MD Salvatore Corso, MD Alexander Denes, MD Sanford Emery, MD, MBA Derek Amanatullah, David Bellamy, MD Adam Bright, MD Aaron Chamberlain, MD Michael Coscia, MD Thomas Dennis, MD Jacquelin Emmanuel, MD MD, PhD Steven Below, MD George Brindley, MD Henry Chambers, MD Andrew Cosgarea, MD Premjit Deol, DO Mark Engasser, MD Veerinder Anand, MD David Benavides, MD John Brna, MD Edward Chan, MD Leon Costa, MD Bharat Desai, MD C Engh Jr, MD Christian Anderson, MD Jay Bender, MD Jeffrey Brodie, MD Channappa Chandra, MD John Costouros, MD Vincent Desiderio, MD Samuel Epstein, DO Cody Anderson, MD Thomas Bendowski, MD Chad Broering, MD P Chandrasekaran, MD William Cottrell, MD David Detrisac, MD Richard Erickson, MD Dale Anderson, MD Gerard Benecki, MD Adam Brooks, MD Edward Chang, MD Paul Courtney, MD Allen Deutsch, MD Thomas Errico, MD David Anderson, MD Paul Benfanti, MD Andrew Brooks, MD Richard Chang, MD Capt. Dana Covey, MD, William DeVries, MD Enrique Escobar- Gary Anderson, MD Gordon Bennett, MD Jeffrey Brooks, MD Michael Chapman, MD MSc, FACS Hargovind DeWal, MD Medina, MD J Anderson, MD Eric Benson, MD David Brown, MD Todd Chapman, MD, MSc David Coward, MD Sripad Dhawlikar, MD Mark Eskander, MD Jeffrey Anderson, MD Ross Benthien, MD Stephen Brown, MD Adam Chase, MD Wesley Cox, MD Jonathan Dickens, MD Luis Espinoza, MD Damian Andrisani, MD Michael Bercik, MD Treg Brown, MD John Chase, MD Timothy Craft, MD Robert Dickey, MD James Eule, MD Jeffery Angel, MD Robert Bercik, MD Howard Browne, MD Tahir Chaudhri, MD Lucius Craig III, MD Jon Dickinson, MD Bruce Evans, MD Edward Anglin, MD Michael Berend, MD James Browne, MD Fernando Checo Jr, MD Evan Crain, MD Mark Diehl, MD John Evans, MD Alan Anz, MD Jeffrey Berg, MD Jeremy Bruce, MD Antonia Chen, MD, MBA Charles Crawford III, MD Adam Dietz, MD Korboi Evans, MD Nicole Arcand, MD Scott Berkenblit, MD, PhD Steven Bruce, MD Robert Cheney, MD Kevin Crawford, MD James Dietz, MD Theodore Evans, MD Michael Archdeacon, MD Avrill Berkman, MD Nicholas Bruggeman, MD David Cheong, MD Andrew Crenshaw Jr, MD Gregory DiFelice, MD Von Evans Jr, MD Michael Archibeck, MD Robert Berkowitz, MD Laura Bruse, MD Jon J Cherney, MD Renn Crichlow, MD Mark DiLella, DO Nathan Everding, MD Donald Arms, MD Gregory Berlet, MD Tony Bryant, MD Felix Cheung, MD Lauren Crocco, MD Matthew Dilisio, MD Emily Exten, MD Douglas Arnold, MD Jonathan Berliner, MD Matthew Buchanan, MD John Chiavetta, MD John Crockarell Jr, MD John Dimar II, MD Peter Fabricant, MD, MPH Justin Arnold, MD Joseph Bernardini, MD Brandon Bucker, MD John Chidester, MD William Cross III, MD Joshua Dines, MD William Facibene, MD Ryan Arnold, MD Mark Bernhardt, MD Steven Buckley, MD Christopher Chiodo, MD Robert Crowell, MD Ronald DiSimone, MD Paul Fadale, MD COL Edward Michael Bernot, MD John Buckner, MD Kent Chou, MD Aristides Cruz Jr, MD Anthony DiStasio II, MD James Fahey Jr, MD Arrington, MD David Bernstein, MD Joseph Buckwalter, MD Loretta Chou, MD Quanjun Cui, MD Richard DiStefano, MD Mark Fahey, MD Eric Arvidson, MD Steven Bernstein, MD Matthew Bueche, MD James Chow, MD Brian Culp, MD Seth Dodds, MD Gregory Fahrenbach, MD Steven Atchison, MD Carlos Berrios, MD Bruce Buhr, MD Kevin Christensen, MD Randall Culp, MD Timothy Doerr, MD Frederick Fakharzadeh, MD Thomas Atteberry, MD John Berschback, MD Timothy Burd, MD Kevin Christensen, MD Richard Culpepper, MD Christopher Donaldson, MD Robert Falender, MD Stephen Augustine, DO Lawrence Berson, MD Bradd Burkhart, MD Matthew Christian, MD Rick Cunningham, MD Aram Donigian, MD Richard Fankhauser, MD Gregory Austin, MD James Beskin, MD Wayne Burkhead Jr, MD Jonathan Christy, MD Torin Cunningham, MD Joseph Donnelly, MD Donald Fareed, MD Jeremie Axe, MD Cameron Best, MD Jeremy Burnham, MD John Chrostowski, MD Richard Curd, MD John Dorris, MD Wagdi Faris, MD Michael Axe, MD Russell Betcher, MD Michael Burns, MD Benjamin Chu, MD Bradford Currier, MD Jesse Doty, MD Kevin Farmer, MD Kari Babinski, MD Michael Betsy, MD Thomas Burns, MD Christopher Chuinard, Brian Curtin, MD Christopher Dougherty, DO Mark Farmer, MD Evan Bachner, MD Clayton Bettin, MD Daniel Burrus, MD MD, MPH Benjamin Curtis, MD James Dowd, MD Lance Farnworth, MD Phillip Bacilla Jr, MD Paul Bettinger, MD Charles Burt, MD Akin Cil, MD Gerard Cush Jr, MD James Dowd, MD Jack Farr II, MD Alejandro Badia, MD Laurel Beverley, MD, MPH Mark Burt, MD Richard Cirillo, MD Michael Cushing, MD Daniel Downey, MD Morteza Farr, DO Brian Badman, MD Manthan Bhatt Curtis Burton, MD Ciro Cirrincione, MD Mark Cutright, MD Gregory Drake, DO Donn Fassero, MD Donald Bae, MD Havinder Bhatti, MD Paul Burton, DO William Ciszewski, MD Mathew Cyriac MBA, MD John Drake, MD Jonathan Faux, MD Norberto Baez, MD Christopher Bibbo, MD Dudley Burwell, MD Charles Clark, MD Cory Czajka, MD Mark Drakos, MD Todd Feathers, MD Kaushik Bagchi, MD James Bicos, MD Michael Busch, MD Jason Clark, MD John Czajka, MD Gerald Dreher, MD Keith Feder, MD James Bailey, MD Edward Bieber, MD Charles Bush-Joseph, MD Michael Clark, MD Gregory Dabov, MD Otis Drew, MD John Feighan, MD Matthew Bailey, MD David Bierbrauer, MD Glenn Buttermann, MD Burnet Clarke, MD Robert D'Agostini, MD Michael Drewek, MD Jeff Feinblatt, MD James Baker, MD William Biggs, MD Gavin Button, MD Eric Clarke, MD Mark Dahl, MD Richard Driessnack, MD Andrew Feldman, MD Matthew Baker, MD Gregory Bigler, MD Jonathan Buzzell, MD Theodore Clarke, MD Raymond Dahl, DO Joseph Dryer, MD Daniel Feldmann, MD Dirk Bakker, MD A Binder, MD E Bynum, DO Charles Classen, MD William Dahl, MD Michael Duch, MD Brent Felix, MD Tessa Balach, MD Stefano Bini, MD James Cahill, MD Richard Claveria, MD Diane Dahm, MD Todd Duellman, MD Todd Fellars, MD, MBA, PT George Balazs, MD Lawrence Bircoll, MD Patrick Cahill, MD Kirk Cleland, MD John Daigneault, MD William Duffy, MD John Femino, MD George Ballantyne, MD Adam Bitterman, DO E Cain Jr, MD Kirk Clifford, MD Steven Daines, MD Gerald Dugan, MD Eric Ferkel, MD Luke Balsamo, MD Paul Bizzigotti, MD Michael Caines, MD Carlton Clinkscales, MD Jason Dalling, MD Alex Dukas MA, MD Richard Ferkel, MD Willie Banks Jr, MD Keith Bjork, MD James Calandruccio, MD Robert Closkey, MD Christopher Michael Dulske, MD Thomas Ferlic, MD John Bargren, MD Arthur Black, MD Michael Calfee, MD Kevin Coates, MD, Damsgaard, MD Stephen Duncan, MD Gregg Ferrero, MD John Barker, MD Sheena Black, MD Bert Callahan, MD MBA, MPT Linda D'Andrea, MD Bradley Dunlap, MD James Ferrier, MD Brian Barnard, MD Richard Blanks, MD John Campbell, MD Fraser Cobbe Gregory D'Angelo, MD Albert Dunn, DO Robert Fields, MD

2018 ANNUAL REPORT 19 2018 Donor Thank You continued

Blair Filler, MD Greg Gaski, MD Gordon Groh, MD John Henry Jr, MD Rajesh Jain, MD, MPH J Kelbel, MD Casey Lagan, MD Alexander Finger, MD Kurt Gasner, MD Robert Grondel, MD John Henzes III, MD W Jameson, MD Inez Kelleher, MD Michael Laird, MD Robert Fink, MD Nicholas Gates, MD Brian Gruber, MD Steven Herbst, MD Eric Jamrich, MD Paul Keller, MD Jason Lake, MD Noah Finkel, MD John Gaul III, MD Michael Gruber, MD Julio Hernandez, MD Ajoy Jana, MD Lee Kelley, MD Babak Lami, MD Maureen Finnegan, MD Matthew Gavin, MD Garland Gudger, MD Jonathan Hersch, MD Peter Janes, MD Derek Kelly, MD Peter Lammens, MD Kristina Finney Andre Gay, MD Gregory Gullung, MD Philip Hershberger, MD Jay Jansen, MD John Kelly IV, MD John Lammli, MD Anthony Finuoli, DO Mark Gebhardt, MD Kenneth Gundle, MD Ryan Hess, MD Glenn Jarrett, MD Julia Kenniston, MD Michael Lamson, MD Steven Fischer, MD Daniel Gelb, MD Anuj Gupta, MD W Hess, MD William Jason, MD Allen Kent, MD Joshua Landau, MD David Fisher, MD Howard Gelb, MD Robert Gurtler, MD John Hewitt, MD Mahmood Jazayeri, MD Paul Kenyon, MD Glenn Lane, MD J Fisher, MD Richard Geline, MD Cary Guse, MD Jacob Heydemann, MD Edward Jeffries, MD Louis Keppler, MD Donald Langenbeck Robert Fisher, MD Harris Gellman, MD Daniel Guss, MD, MBA William Heyerman, MD Matthew Jenkins, MD James Kercher, MD Scott Langford, MD Brian Fissel, MD Andrew Gelman, DO Kenneth Gustke, MD Guy Hickman, MD Randall Jennings, MD Matthew Kergosien, MD Robert LaPrade, MD, PhD Joseph Fitzgerald, MD David Gendelberg, MD Andrew Gutow, MD Clint Hill, MD Martin Jenter, DO Chad Kessler, MD Daniel Larose, MD Michael Fitzgerald, MD James Genuario, MD Christina Gutowski, MD Regina Hillsman, MD Kyle Jeray, MD J Kessler, MD A. Noelle Larson, MD James FitzGibbons, MD Mark Geppert, MD Aaron Guyer, MD Elliott Hinkes, MD Joseph Jerman, MD Brian Keyes, DO Timothy Larson, MD Timothy Fitzgibbons, MD Bradley Gerber, MD James Guyton, MD Harlan Hiramoto, MD Adam Jester, MD Kunwar Khalsa, MD Christopher Lau, MD Michael Flaherty, MD Andrew Gerdeman, MD Robert Haar, MD Justin Hire, MD Ramon Jimenez, MD Nitin Khanna, MD Samuel Laufer, MD Adolph Flemister Jr, MD Michael Gerling, MD Thomas Hackett, MD W Hodge FACS, MD Edil Jimenez-Perez, MD Harpal Khanuja, MD David LaVelle, MD Kyle Flik, MD Charles Getz, MD Kevin Haddix, MD Scott Hodges, DO Charles Jobin, MD Greg Khounganian, MD Stephane Lavoie, MD Russell Flint, MD Timothy Ghattas, MD Steven Hagan, MD Jason Hofer, MD Christopher Jockel, MD W Kibler, MD James Lawler, MD Thomas Florack, MD Christopher Ghigiarelli, MD Christopher Hajnik, MD Eric Hoffman, MD John Johansen, MD Howard Kiernan Jr, MD James Lawrence MBA, MD Mason Florence, MD Jonathan Ghormley, MD James Hale, MD Gregor Hoffman, MD Curtis Johnson, MD Carter Kiesau, MD Troy Layton, MD Donald Floyd, MD Ramesh Gidumal, MD Steven Hale, MD Jason Holcomb, MD Eric Johnson, MD Christian Kikuchi, MD Michael Leathers, MD William Flynn Jr, MD Thomas Giel III, MD Nicholas Halikis, MD Mark Hollmann, MD Glenn Johnson II, MD Todd Kim, MD Evan Lederman, MD John Foley, MD David Gilbert, MD Adam Hall, MD G Holloway, MD Gregory Johnson, MD Young Jo Kim, MD, PhD Ronald Lederman, MD Andre Fontana, MD James Gilbert, MD Christian Hall, MD Timothy Holt, MD James Johnson, MD Kristofer Kimber, MD Arthur Lee, MD Roger Fontes Jr, MD Paramjeet Gill, MD Masoud Hamidian, MD Scott Holthusen, MD Jeffrey Johnson, MD W Kimmerly, MD Christopher Lee, MD Jared Foran, MD John Gillen II, MD Christopher Hamilton, MD Kelly Homlar, MD Joseph Johnson, MD Brian Kincaid, MD Julia Lee, MD Aaron Forbes, MD Mark Gillespy, MD David Hamilton, MD David B Honari, MD Miers Johnson III, MD Jeremy Kinder, MD Matthew Lee, MD Thomas Ford, MD Peter Gilmer, MD Charles Hancock, MD Daniel Hoopes, MD Philip Johnson, MD Kirk Kindsfater, MD Robert Lee, MD Kim Foreman, MD Steven Giuseffi, MD Matthew Handling, MD C Hopkins, MD Stephen Johnson, DO Dirk Kiner, MD Rushyuan Lee, MD Peter Formby, MD Heather Gladwell, MD Michael Handy, MD Ryan Horazdovsky, MD Toby R Johnson, MD David King, MD Kevin Leffers, MD Douglas Foulk, MD Andrew Glassman, MD Stephen Hanks, MD Bernard Horn, MD Todd Johnson, MD Joseph King III, MD Lawrence Lefkowitz, MD David Fowler, MD Nathan Glusenkamp Patrick Hanley, MD Robert Horne, MD Casey Johnston, MD Jessica Kingsberg, MD Alexander LeGrand, MD Timothy P Fowler, MD David Godfried, MD Matthew Hannibal, MD John Horneff, MD Eric Johnston, MD Wesley Kinzie, MD Ronald Lehman, MD Daniel Fox, MD Raymond Godsil Jr, MD Benjamin Hansen, MD Michael Horner, DO Jay Jolley II, MD D Kirkpatrick, MD Timothy Lehman, MD Michael Fracchia, MD Mark Goebel, MD Craig Hansen, MD Joshua Hornstein, MD Craig Jones, MD Bernard Kirol, MD William Lehman Jr, MD Michael Fraipont, MD Steven Goebel, MD Sigvard Hansen Jr, MD Joanna Horstmann, MD David Jones Jr, MD Matthew Kirsch, MD Michael Leighton, MD Liz Frale Mark Goethe, MD Eric Hanson, MD Raymond Horwood, MD Dewey Jones IV, MD Casey Kiser, MD Frederick Lemley, MD Joshua Frank, MD Alexander Golant, MD Patrick Hanson, MD Paul Hospodar, MD E Jones III, MD Mark Klaassen, MD J Lemley, MD James Fraser, MD Grigory Goldberg, MD Peter Hanson, MD Robert Hotchkiss, MD Frederick Jones, MD Michael Klassen, MD Mark Lemos, MD Michael Fraser Jr, MD Matthew Goldstein, MD Peter Hanson, MD John Houde, MD Greg Jones, MD Barry Kleeman, MD Lawrence Lenderman, MD John Frazier, MD Stephen Goll, MD Robert Haralson III, Meghan Hough Jay Jones, MD Jeffrey Klein, MD Jack Lennox, DO Randall Frazier, MD Curtis Goltz, DO MD, MBA Peter Howard, MD Robert Jones Jr, MD Terren Klein, MD Tim Lenters, MD Hugh Frederick, MD Robert Golz, MD Alexander Harbin, MD Christopher Howe, MD Robert Jones, MD Dominic Kleinhenz, MD Peter Lepse, MD Michael Freehill, MD Mufaddal Gombera, MD Gary Harbin, MD Richard Howell, MD Christopher Jordan, MD Bryan Klepper, MD Eric Lerche, DO Michael Freehill, MD Joseph Gondusky, MD Robert Harf, MD Michael Hritz, MD Louis Jordan, MD Conor Kleweno, MD Daniel Lerman, MD Curt Freudenberger, MD Gary Goodfried, MD James Harkess, MD Gordon Hsieh, DO Frank Joseph, MD Jeffrey Klugman, MD Marvin Leventhal, MD Larry Frevert, MD Murray Goodman, MD David Harkins, DO Serena Hu, MD George Joseph, MD James Knavel, MD Jason Levine, MD George Frey, MD Steven Goodwiller, MD Edwin Haronian, MD Russel Huang, MD Samuel Joseph, MD Steven Knezevich, MD David Levinsohn, MD Steven Frey, MD Dennis Gordon, MD Kevin Harreld, MD Glenn Huber, MD Donald Joyce, MD Bradford Knight, MD Gregory Lewish, MD Steven Frick, MD Michael Gordon, MD Michael Harrer, MD Russell Hudgens, MD Michael Joyce, MD Karen Knight, MD Gabriel Lewullis, MD Steven Friedel, MD Robert Gorman, MD Alicia Harrison, MD Melburn Huebner, MD Timothy Joyce, MD Robert Knowlan, MD Coles L'Hommedieu, MD Gary Friedlaender, MD James Gosey Jr, MD Gregg Hartman, MD Robert Huler, MD Paul Juliano, MD Benjamin Knox, MD David Licini, MD Jeffrey Friedman, MD Charles Gottlob, MD Jared Harwood, MD Casey Humbyrd, MD William Junglas, MD Raymond Koch, MD Travis Liddell, MD Thomas Friermood, MD Michael Gottschalk, MD Maury Harwood, MD Marc Hungerford, MD Jesse Jupiter, MD Karl Koenig, MD, MS Isador Lieberman, MD, Nicholas Frisch, MD, MBA Joseph Gower, MD Armodios Hatzidakis, MD Kenneth Hunt, MD Brian Jurbala, MD Scott Koenig, MD MBA, FRCSC John Froelich, MD Robert D Graham II, MD Thomas Haverbush, MD Stephen Hunt, MD Darin Jurgensmeier, MD Thomas Koenig, MD Jay Lieberman, MD Stuart Fromm, MD Gregory Gramstad, MD Richard Hayek, MD Travis Hunt, MD Michael Justice, DO John Kofoed, MD Joseph Lifrak, MD Michael Fry, MD Jason Grassbaugh, MD Robert Hazel, MD Jason Hurd, MD Robert Kadoko, MD, MS Michael Kogan, MD Kenneth Light, MD Marc Fuchs, MD Michael Gratch, MD Stephanie Hazlett Davis Hurley, MD Charles Kaelin, MD Moosa Kohanim, MD Robert Limoni, MD Jeryl Fullen, MD F Gray, MD James Head, MD Philip Hurley, MD Clifford Kahn, MD Jerome Kolavo, MD Sheldon Lin, MD Michael Fuller, DO Jason Gray, MD John Healey, MD Stephen Hurst, MD Michael Kain, MD Gregg Koldenhoven, MD Homer Linard, DO Christopher Furey, MD John Gray, MD William Healy, MD Michael Hussey, MD Gautam Kakade FRCS, MD David Kolessar, MD David Lindgren, MD Eric Furie, MD Benjamin Grear, MD Thomas Hearty, MD Hank Hutchinson, MD Ashay Kale, MD Stephen Kollias, MD Kevin Lindgren, MD Mark Fye, MD Gregory Green, MD Jonah Hebert-Davies, MD Kirk Hutton, MD Victor Kalman, DO Jon Koman, MD Matthew Link, MD Edward Gabelman, MD John Green III, MD Christopher Heck, MD Andrew Hvidston, MD COL Benjamin Kam Jr, MD Leslie Konkin, MD Michael Linn, MD Jeffrey Gagliano, MD Neil Green, MD Robert Heck Jr, MD Joseph Iannotti, MD, PhD Atul Kamath, MD Jeffrey Korchek, MD Richard Linn, MD Evan Gaines, MD Craig Greene, MD Robert Hedderman, MD Christopher Ihle, MD Steven Kane, MD David Koronkiewicz, DO John L'Insalata, MD Cory Gaiser, DO Nathan Greene, MD John Hefferon, MD Anthony Infante, DO F Kaplan, MD Stephen Koss, MD Niels Linschoten, MD Gregory Gallant, MD, MBA Robert Greene, MD William Hefley Jr, MD James Irvine, MD Michael Kaplan, MD Kurtis Kowalski, MD Craig Lippe, MD Humberto Galleno, MD Gerald Greenfield Jr, MD Robert Heidt Jr, MD Todd Irwin, MD Spero Karas, MD Mark Kowalski, MD Paul Lipscomb Jr, MD John Galligan, MD Brett Greenky, MD Gregory Heinen, MD Andre Ishak, MD Sooren Karayan, MD Jonathan Kraus, MD Jordan Lisella, MD William Gallivan Jr, MD Seth Greenky, MD David Heinsch, MD Susan Ishikawa, MD Tarik Kardestuncer, MD Ronald Kristensen, MD Roald Llado, MD Douglas Galuk, MD Thomas Greider, MD Andrew Heinzelmann, MD Kenneth Ishizue, MD Richard Karr, MD John Kroner, MD Robert Lock, DO Eugene Galvin, MD Richard Greisman, MD Michael Hejna, MD John Itamura, MD Scott Karr, MD Barry Krosser, MD Harry Lockstadt, MD Mark Ganjianpour, MD Eric Grenier, MD Farshid Hekmat, MD Henry Iwinski, MD Stuart Katchis, MD Thomas Krupko, MD, FACS James Loddengaard, MD Theodore Ganley, MD Justin Griffin, MD Daniel Heller, MD Timothy Izant, MD David Katz, MD Nicholas Kubik, MD Sameer Lodha, MD John Garber, MD Letha Griffin, MD Scott Helmers, MD, FACS Byron Izuka, MD Richard Katz, MD Daniel Kuesis, MD Bryan Loeffler, MD Grant Garcia, MD Robert Griffin, MD Stephen Helper, MD Gabriel Jackson, MD Steven Kautz, MD Jeffrey Kuhlman, MD Jonathan Loewen, MD Ryan Garcia, MD James Grimes, MD Daniel Hely, MD Jeffrey Jackson, MD David Kavjian, MD Sanjay Kumar, MD Anthony LoGiudice, MD Mitchell Garden, MD Jerry Grimes, MD Walter Hembree, MD John Jackson, DO Haik Kavookjian, MD Paul Kupcha, MD Frederick Lohr, MD James Gardiner, MD David Grimm, MD Christopher Henderson, MD Sidney Jacoby, MD Kosmas Kayes, MD Stanley Kupiszewski, MD Luis Lojo-Sojo, MD William Gardner, MD Steven Grindel, MD M Henley, MD, MBA, FACS Randy Jaeger, MD James Kayvanfar, MD Vivek Kushwaha, MD Joy Long, MD Robert Garroway, MD Brian Grogan, MD Timothy Henne, MD Kourosh Jafarnia, MD Timothy Keenen, MD Ronald Kvitne, MD D Loucks, MD Conor Garry, MD Thomas Grogan, MD David Henneghan, MD Floyd Jaggears, MD Jay Keener, MD James Lafleur, MD Kevin Louie, MD

20 Access. Influence. Victories. | AAOS ORTHOPAEDIC PAC 2018 Donor Thank You continued

Steven Louis, MD N Mattox Jr, MD Marc Milia, MD Daniel Nagle, MD Ana Palmieri, MD Christine Pui, MD Chaim Rogozinski, MD Lonnie Loutzenhiser, MD Benjamin Mauck, MD Benjamin Miller, MD Roland Nakata, MD Mark Palumbo, MD Joseph Pullekines, MD Garrison Rolle, MD John Lovejoy, MD Christopher Maugans, MD Bret Miller, MD Denis Nam, MD, MSc Kenneth Paonessa, MD Steven Puopolo, MD Audie Rolnick, MD Brandon Low, MD Carter Maurer, MD G Miller, MD Michael Nancollas, MD John Papa, MD Michael Purnell, MD Lindsey Rolston, MD Kent Lowry, MD James Maxey, MD Geoffrey Miller, MD Robert Nantais, MD Paul Papierski, MD Thomas Puschak, MD Marcus Romanowski, MD Jeffrey Lozman, MD Ralph Maxy, MD Lawrence Miller, MD Fred Naraghi, MD James Pappas, MD Michael Pushkarewicz, Juan Romero, MD John Lubicky, MD Sharon Mayberry, MD Michael Miller, MD Nathaniel Narten, MD Dennis Park, MD MD, FACS Mark Romness, MD Stephen Lucey, MD Joel Mayerson, MD Patrick Miller, MD Scott Nasson, MD SangDo Park, MD Paul Puziss, MD Craig Roodbeen, MD R Lucie, MD M Mayeux, MD Robert Miller III, MD Jonathan Nassos, MD Thomas Park, MD Louis Quartararo, MD Orestes Rosabal, MD Phillip Ludkowski, MD David Mayo, MD Rodney Miller, MD S Neale, MD John Parker, MD Seth Queler, MD Donald Rose, MD Zachary Lum, DO Joseph Mayo, MD Steven Miller, MD John Neilson, MD Richard Parker, MD Nicholas Quercetti, DO Nicholas Rose, MD Boyd C Lumsden, MD Magdiel Mayol-Urdaz, MD Chad Millet, MD Kate Nellans, MD Joshua Parry, MD John Quigley, MD Craig Rosen, MD Frank Luzi Jr, MD Rowland Mayor, MD Mark Mills, MD Bradley Nelson, MD Ira Parsons, MD Daniel Quinn, MD Marc J Rosen, MD Garrett Lynch, MD Augustus Mazzocca, Eugene Mindell, MD Lynn Nelson, MD Amar Patel, MD David Quinn, MD Andrew Rosenbaum, MD Thomas Lyons, MD MD, MS Norman Mindrebo, MD Thomas Nelson, MD Nimesh Patel, MD Robert Quinn, MD Corey Rosenbaum, DO Ronald MacBeth Jr, MD Robert McAlindon, MD Craig Mines, MD Kristin Nesbitt, MD William Paterson, MD Todd Raabe, MD Donald Rosenbaum, DO James MacDougall, MD Craig McAllister, MD Barbara Minkowitz, MD Anuj Netto, MD, MPH John Patterson, MD Brien Rabenhorst, MD Richard Rosenberg, MD Lance Macey, MD James McAtee, MD Glenn Minster, MD John Nettrour, MD Richard Patterson, MD Timothy Radomisli, MD Samuel Rosenfeld, MD Michael Machen, MD G McBride, MD Craig Mintzer, MD Mark Newman, MD Cameron Patthanacha- Christopher Raffo, MD Katherine Philip Mack, MD Robert McBride Jr, MD Hassan Mir, MD, P Newman, MD roenphon, MD Richard Rainey, MD Rosenwasser, MD Michael MacKay, MD Kevin McCarthy, MD MBA, FACS Bonaventure Ngu, MD Robert Patz, MD Leo Raisis, MD Melvin Rosenwasser, MD R Mackey, MD Eric McCarty, MD Franklin Mirrer, MD Lan Nguyen, DO Nikos Pavlides, MD Abdi Raissi, MD Scott Rosenzweig, MD Victor Macko, MD Walter McClelland Jr, MD Gary Misamore, MD Larry Nguyen, MD E Paxton, MD Felipe Ramirez, MD Thomas Ross, MD Benzel MacMaster, MD Leland McCluskey, MD Robert Mitchell, MD Richard Nicholas Jr, MD S Payne, MD Adam Rana, MD Yolanda Roth, MD Benjamin MacQueen, MD Joseph McCoy Jr, MD Stephen Mitros, MD James Nichols, DO William Peace, MD Anil Ranawat, MD Gerald Rothacker Jr, MD Sudhakar Patrick McCulloch, MD Jeffrey Mogerman, MD Reid Nichols, MD E Peak, MD Joseph Randolph, MD Roberta Rothen, MD Madanagopal, MD Edward McDevitt, MD Amir Moinfar, MD Christopher Nicholson, MD Stephen Pearce, MD Glenn Rankin, MD Corey Rothrock, MD Robert Maddalon, MD Allen P McDonald III, MD James Moitoza, MD Joseph Noah, MD Steven Pearson, MD Santi Rao, MD Bruce Rougraff, MD Michael Madsen, MD Lucas McDonald, MD, MPH Christopher Molitor, MD Andrew Noble, MD Howard Pecker, MD James Rappaport, MD Aron Rovner, MD Christopher Maender, MD Thomas McDonald, MD Joseph Monaco, MD John Noble Jr, MD Richard Pell IV, MD Rola Rashid, MD Edmund Rowland Jr, MD Michael Maggitti, MD Dena McDonough Stacie Monroe Ken Noonan, MD Albert Pendleton, MD Sourendra Raut, MD Michael Rowland, MD James Maher III, MD Thomas McEnnerney, MD David Monson, MD Thomas Noonan, MD Keith Penney, MD John Rawlings, MD Ryan Rowland, MD Conjeevaram James McFadden, MD Ismael Montane, MD Russell Nord, MD Scott Pennington, MD Alan Rechter, MD David Roye Jr, MD Maheshwer, MD William McGarvey, MD Scott Montgomery, MD John Nordt III, MD Andrew Pennock, MD Glenn Rechtine II, MD Jacob Rozbruch, MD John Mahon, MD James McGrory, MD Stuart Montgomery, MD Steven Norris, MD Daniel Pereles, MD Ashok Reddy, MD James Rubano, MD Ormonde Mahoney, MD Daniel McGuire, MD James Moore, MD Mark Northfield, MD Edward Perez, MD Lori Reed, MD Cynthia Rubert, MD Christopher Mahr, MD Michael McGuire, MD Jeffrey Moore, MD Stephen Norwood, MD Carlos Perez-Cardona, MD Bradley Register, MD Benjamin Rubin, MD Jonathan Main, MD Michael McGuire, MD Slade Moore, MD Peter Novak, MD Carlos Perez-Lopez, MD Paul Reiman, MD Paul Rud, MD Tony Majestro, MD Heather McIntosh, MD Ralph Morales, DO Joseph Novotny, MD Jose Perez-Lopez, MD Mitchell Reiter, MD Matthew Rudloff, MD Mark Maletsky, MD Richard McKay, MD Jeffrey Morgan, MD, MBA Frank Noyes, MD Thomas Perlewitz, MD Leonard Remia, MD John-Paul Rue, MD William Mallon, MD Scott McKay, MD Richard Morgan, MD Ryan Nunley, MD Donato Perretta, MD John Repicci, MD Sebastian Ruggeri, MD John Maltry, MD Matthew McKenna, MD Steven Morgan, MD Darin Nye, MD Johnathan Perry, MD Bryan Reuss, MD Jacob Rumley, DO Jeffrey Malumed, MD Mark McKenzie, MD Steven Morgan, MD Lukas Nystrom, MD Paul Perry, MD Fletcher Reynolds, MD Mark Ruoff, MD Thomas Malvitz, MD Matthew McKenzie, MD Bernard Morrey, MD Padraic Obma, MD Richard Perry, MD Kirk Reynolds, MD George Russell Jr, MD Steven Manalan, MD William McMaster, MD Brent Morris, MD Michael O'Brien, MD Kathleen Peter, MD Scott Reynolds, MD Jeremy Russell, DO Richard Mandel, MD Patrick McNair, MD Martin Morrison III, MD Timothy O'Brien, MD Davis Peterson, MD Robert Rhoad, MD Vincent Russo, MD John Manfredi, MD Michael McNamara, MD Andrew Morse, MD J Ochsner Jr, MD Erik Peterson, MD Charles Rhoades, MD David Rust, MD Stephen Manifold, MD Thomas McPartland, MD Rosemarie Morwessel, MD Mary O'Connor, MD Robert Peterson, MD Eric Ricchetti, MD Richard Rutherford Jr, MD Jon Manjarris, MD James McQuillan, MD Wayne Moschetti, MD, MS Keith Odegard, MD Joseph Petfield, MD William Ricci, MD James Ryan IV, MD Chad Manke, MD Thomas McWeeney, MD Soheil Motamed, MD Charles Ogburn III, MD Julio Petilon, MD Jeff Rich, MD John Ryan, MD Mollie Manley, MD Gordon Mead, MD Christopher Mow, MD J Oglesby, MD Charles Petit, MD Robert Richards Jr, MD Michael Ryan, MD Matthew Mann, MD Kenneth Means Jr, MD Ray Moyer, MD James O'Hara, MD Edward Petrow Jr, DO Andrew Richardson, MD Stephen Rycyna Jr, MD Eric Manoff, MD Peter Mebel, MD Eric Muehlbauer CAE John Okun, MD Jasper Petrucci, MD David Richardson, MD Paul Saadi, MD Kevin Mansmann, MD Robert Medoff, MD William Muir, MD Margaret Olmedo, MD Timothy Petsche, MD Daniel Richmond, MD Charles Sadler, MD Arsen Manugian, MD Evangelos Megariotis, MD Michael Muldoon, MD Craig Olson, MD Daniel Phelan, MD Robert Riederman, MD Carlos Sagebien, MD John Mara, MD John Mehalik, MD Kevin Mullaney, MD Soren Olson, MD Jeffrey Phelps, MD Scott Riley, MD Kaveh Sajadi, MD Kent Marangi, MD Robert Mehrle, MD David Muller, MD Michael O'Malley, MD Barry Phillips, MD Todd Rimington, MD Katherine Sale Michael Marchetti, MD Joseph Meis, MD Michael Mulligan, MD Aaron Omotola, MD Jeffrey Phillips, MD Peter Rink, DO Fredric Salter, MD David Marcu, MD Hooman Melamed, MD Brian Mulliken, MD Michael O'Neil, MD Frederick Piehl, MD William Ritchie IV, MD Thomas Samuelson, MD Randall Marcus, MD Steven Meletiou, MD Timothy Mullin, MD Kevin O'Neill, MD Gita Pillai, MD Mark Ritter, MD Michael Sander, MD Patrick Marinello, MD James Melvin III, MD Joseph Mumford, MD Alvin Ong, MD Christopher Piller, MD R Ritter III, MD Brett Sanders, MD Pablo Marrero, MD Louis Mendella, DO David Mungo, MD Judith Oppenheim, MD Michael Pinzur, MD Richard Ritter, MD Gursewak Sandhu, MD Amanda Marshall, MD R Meneghini, MD Louis Murdock, MD William Oppenheim, MD Peter Pizzarello Jr, MD Alberto Rivera, MD Geoffrey Sandman, MD Ernest Marsolais, MD Christopher Meriam, MD Roger Murken, MD Gregory Orson, MD Peter Pizzutillo, MD Emanuel Rivera- Robert Sandmeier, MD Larry Marti, MD Haley Merrill, MD Brian Murphy, MD Dionisio Ortiz, MD Kenneth Pohl, MD Rosado, MD Bruce Sangeorzan, MD Cody Martin, MD John Mertz, MD Charles Murphy, MD Gerald Ortiz, MD Chris Pomeroy, MD Dennis Rivero, MD James Santangelo, MD Kenneth Martin, MD David Mesna, MD Daniel Murphy, MD Jose Ortiz Jr, MD Paul Pongor, MD Steven Robbins, MD Erick Santos, MD, PhD Anthony Mascioli, MD Douglas Messina, MD Daniel Murphy, MD Jeremy Oryhon, MD Anca Popa, MD Rowland Roberson, MD Matthew Sardelli, MD Mathias Masem, MD Mark Messineo, MD Douglas Murphy, MD Lois Osier, MD David Pope, MD Troy Roberson, MD Alan Sarokhan, MD Steven Maser, MD Raymond Metz Jr, MD Garnett Murphy, MD John Osterkamp, MD Richard Pope, MD Craig Roberto, DO Vishal Sarwahi, MD Logan Mast, MD Thomas Meyer, MD Mark Murphy, MD Antonio Otero-Lopez, MD David Porter, MD Donald Roberts, MD Akhilesh Sastry, MD Edward Mastromonaco, DO Jefferey E Michaelson, MD Michael Murphy, MD Randall Otto, MD Gregory Portland, MD Jared Roberts, MD Vinayak Sathe, MD Joseph Matan, MD Ronald Michalak, MD Paul Murphy, MD Brent Overton, MD Benjamin Potter, MD Jeffrey Roberts, MD Robert Satterfield, MD Matthew Matava, MD Jared Michalson, MD Robert Murphy, MD K Owen, MD Jack Powell III, MD Robert Roberts, MD Yvonne Satterwhite, MD L Matchett, MD Marc Michaud, MD Douglas Murray, MD Anthony Pachelli, MD John Powell, MD Lawrence Robinson, MD Andreas Sauerbrey, MD Richard Mather III, MD Lyle Micheli, MD Jeffrey Murray, MD James Paci, MD Thomas Powell, MD Mitchel Robinson, MD Perry Savage, MD Steven Mather, MD Ryan Michels, MD Patrick Murray, MD Bryan Pack, MD Cyrus Press, MD Raleigh Robinson, MD Jeffrey Sawyer, MD Thomas Mathews, MD Theodore Miclau, MD Thomas Murray Jr, MD Paul Pagano, MD J Price, MD Ronald Robinson, MD James Scales, MD Vasilios Mathews, MD Nicholas Midis, MD Douglas Musgrave, MD Jean-Maurice Page, MD Julian Price, MD Samuel Robinson, MD Adam Schaaf, MD James Matiko, MD Sidney Migliori, MD Loiy Mustafa, MD Michael Pagnotto, MD Michael Principe, DO Walter Robinson Jr, MD D Scheid, MD Paul Matson, MD Marc Mihalko, MD David Myer, MD Douglas Pahl, MD Christopher Proctor, MD Matthew Robon, MD Gregg Schellack, DO Andre Matthews, MD William Mihalko, MD, PhD Jonathan Myer, MD Michael Pahl, MD Chadwick Prodromos, MD Jorge Rodriguez, MD Donald Schengel, MD Daniel Matthews, MD Mark Mikhael, MD Timothy Myer, MD Carl Painter III, MD Matthew Provencher, MD, Jorge Rodriguez- Thomas Schenk, MD David Matthews, MD R Milam IV, MD Mark Mysnyk, MD Mark Pallis, DO MC, USNR Wilson, MD Jonathan Scherl, MD Gary Matthys, MD John Miles, MD Matthew Nadaud, MD Douglas Palma, MD Vincent Prusick, MD Gregory Roehrig, MD Jerry Schilz, MD David Mattingly, MD Robert Mileski, MD Kevin Nadel, MD Bryce Palmgren, MD Paul Puckett, MD Abraham Rogozinski, MD Daniel Schlatterer, DO

2018 ANNUAL REPORT 21 2018 Donor Thank You continued

Theodore Schlegel, MD Joseph Sklar, MD Dean Sukin, MD Norman Turner III, MD Brian Waterman, MD Scott Wolfe, MD Gregory Schmale, MD Robert Slater Jr, MD Robert Sullivan, MD William Turner, MD Richard Wathne, MD Mark Wolgin, MD Andrew Schmidt, MD Michael Slimack, DO Allan Sutker, MD Timothy Tymon, MD Frederick Watson, MD Preston Wolin, MD Gary Schmidt, MD James Slover, MD Patrick Sweeney, MD William Tyndall, MD J Watts, MD John Wollaeger, MD Miguel Schmitz, MD John Small, MD Edward Sweetser, MD Michael Ugino, MD Gavin Webb, MD Bruce Wolock, MD David Schneider, MD Thomas Smedberg, Todd Swenning, MD Obinwanne Ugwonali, MD Ian C Weber, MD Michael Womack, MD James Schneider, MD MD, MS F Swenson, MD Richard Uhl, MD Mark Weber, MD Andrew Wong, MD Nicholas Schoch, DO Brandon Smetana, MD Jeremy Swymn, MD Todd Ulmer, MD Stephen Weber, MD Douglas Wong, MD Matthew Schramski, DO Andrew Smith, MD Robert Tait, MD Joshua Urban, MD Steven Weber, DO Kirk Wong, MD Otto Schueckler, MD Brian Smith, MD William Tally, MD Christopher Urband, MD Charles Weeks, MD David Wood, MD Dean Schueller, MD Chadwick Smith, MD Carl Talmo, MD Lindsey Urband, MD Derek Weichel, MD John Wood, MD Jeff Schulman, MD Charles Smith, MD Benjamin Tam, MD Paul Urbanek, MD Mark Weidenbaum, MD Rory Wood, MD John Schutte, MD Eric Smith, MD Jason Tank, MD Robert Urrea, MD Steven Weinfeld, MD Robert Woodruff, MD Joseph Schwab, MD Eric Smith, MD Chadi Tannoury, MD Arthur Valadie III, MD John Weinlein, MD Daniel Woods, MD Geoffrey Van Craig Weinstein, MD John Schwappach, MD John Smith, MD Ivan Tarkin, MD Michael Woods, MD Randy Schwartzberg, MD Mark Smith, MD Dean Taylor, MD Flandern, MD Brett Weinzapfel, MD, PhD Christopher Woodson, MD Itchak Schwarzbard, MD Marvin Smith, MD, MS Mehul Taylor, MD James Van Olst, MD David Weiss, MD Kimberly Workman, MD Mark Scioli, MD Matthew Smith, MD David Teague, MD Geoffrey Van Thiel, Jennifer Weiss, MD Daniel Worrel, MD John Scolaro, MD Micah Smith, MD Jeffrey Tedder, MD MD, MBA William Weiss, MD James Worthen, MD John Seaberg, MD Michael Smith, MD Armin Tehrany, MD Nathan Van Zeeland, MD David Weissberg, MD Amanda Wright, DO, MS Christine Seaworth, MD Michael Smith, MD Connor Telles, MD Corinne Vanbeek, MD Joseph Weistroffer, MD Douglas Wright, MD Wayne Sebastianelli, MD Ronald Smith, MD Mark Tenholder, MD William Vandiver, MD Richard Welch, MD Geoffrey Wright, MD Robert Sedaros, MD Scott Smith, MD Joachim Tenuta, MD Travis VanDyke, MD Robert Welch, MD Mitchell Seemann, MD Stephen Smith, MD John Ternes, MD Zachary Vaupel, MD Colvin Wellborn, MD Kevin Wright, MD Julieanne Sees, DO Craig Smucker, MD Andrew Terrono Jr, MD Vincent Vena, MD Matthew Wells, MD Alfred Wroblewski, MD Bernard Seger, MD Lawrence Snow, MD Cooper Terry, MD Michael Vender, MD Glenn Wera, MD Eric Wroten, MD Scott Seibert, MD Peter Sofia, MD David Teuscher, MD Michael Vener, MD Matthew Weresh, MD Eddie Wu, DO Sumner Seibert, MD John Solari, MD Joseph Teynor, MD Michael Vercillo, MD Geoffrey Westrich, MD Robert Wubben, MD Michael Seidenstein, MD Daniel Song, MD Mihir Thacker, MD George Verghese, John Whalen, MD Corey Wulf, MD Brandon Seifert, MD Suzette Song, MD Steven Theiss, MD MD, FRCS Adam Whatley, MD Steven Wynder, MD Jonathan Sembrano, MD W Sothoron, MD Philip Therrien, MD Norman Verhoog, MD Paul Whatley, MD Walker Wynkoop, MD Venkat Sethuraman, MD David Sowa, MD Peter Theut, MD Doug Vermillion, MD Richard Whipple, MD Gerald Yacobucci, MD Erik Severud, MD Debra Spatz, DO Corbett Thigpen, MD James Verner, MD Daniel White, MD Raj Yalamanchili, MD Thorsten Seyler, MD, PhD Leo Spector, MD Bradley Thomas, MD Charles Versteeg Jr, MD Martin White, MD Aris Yannopoulos, MD Brian Shafer, MD William Spellman, MD Herbert Thomas III, MD Michael Vessely, MD Peter Whitfield, MD Michael Yaszemski, Anand Shah, MD Curtis Spencer III, MD John Thomas, MD Andrew Vicar, MD Alan Whitney, MD MD, PhD Nirav Shah, MD Eric Spencer, MD Robert Thomas, MD Thomas Viehe, MD A Whittle, MD Jeffrey Yergler, MD Suken Shah, MD Upshur Spencer, MD Henry Thomason III, MD Robert Viere, MD J Wiater, MD Patrick Yoon, MD Lawrence Shall, MD Hillel Sperling, MD CAPT (ret) Michael Stephen Viess, MD Patrick Wiater, MD James York, MD Timothy Shannon, MD Paul Sponseller, MD Thompson, MD Franco Vigna, MD Daniel Wieking, MD M York, MD James Shapiro, MD Charles Springer, MD George Thompson, MD Mandeep Virk, MD Brent Wiesel, MD Jeffrey Yormak, MD Samir Sharma, MD Shafic Sraj, MD Joel Thompson, MD Michael Vitale, MD, MPH John Wilber, MD Dale Young, MD Brian Shaw, MD Shawn Standard, MD Joffrey Thompson, MD Jordan Vivian Daniel Wilen, MD Jeffrey Young, MD Kevin Shea, MD Anthony Stans, MD Matthew Thompson, MD Peter Vizzi, MD Richard Wilk, MD Steven Young, MD Kevin Shea, MD Robert Stanton, MD Michael Thompson, MD Timothy Volk, DO Michael Willey, MD Scot Youngblood, MD Benjamin Sheffer, MD Walter Stanwood, MD Michael Thompson, MD Loren Vorlicky, MD Heather Williams, MD Serena Young- Mitchell Sheinkop, MD David Stapor, MD Norfleet Thompson, MD James Vosseller, MD John Williams Jr, MD Nguyen, MD Mark Shekhman, MD Lis Stark, MD Sean Thompson, MD Jason Vourazeris, MD Julia Williams Michael Yusaf, MD Daniel Sheldon, MD Peter Stasikelis, MD William Thompson, MD Stephen Waggoner, MD Keith Williams, MD Joseph Zabilski, MD Grantham Shell, MD Daniel Stechschulte Jr, William Thompson, MD Mark Wagner, MD Rafael Williams, MD Paul Zak, MD Justin Walden, MD Samuel Willimon, MD David Shenton Jr, MD MD, PhD Jeffrey Thomson, MD Ira Zaltz, MD Preston Waldrop, MD Christopher Wills, MD Kyle Shepperson, MD Jack Steel, MD David Thordarson, MD Mohammad Zamani, MD Matthew Walker, MD Arnold Wilson, MD Donald Sheridan, MD Robert Steele, MD Robert Thornberry, MD George Zanaros, MD Steven Sheskier, MD Eric Stehly, MD James Thriffiley IV, MD Rafael Walker- John Wilson, MD Nicole Zappa, DO Naomi Shields, MD Jay Stein, MD Thomas Throckmorton, MD Santiago, MD Joseph Wilson, MD John Zavala, MD Peter Shields, MD Robert Steiner, MD Jonathan Ticker, MD Roxanne Wallace, MD William Wind, MD Michael Zeide, MD Michael Shifflett, MD John Steinmann, DO Robert Titelman, MD Jeffrey Wallentine, MD Jonathan Winston, MD Brian Zell, MD Jamal Shillingford, MD Jesse Stem, MD Michael Tjarksen, MD Joseph Walls, MD Charles Winters, MD Benjamin Zellner, MD Joel Shobe, MD William Stephens, MD Richard Tobin, MD Raymond Walls, MD, Thomas Winters Jr, MD Paul Zemaitis Peter Shores William Sterba, MD Baruch Toledano, MD FRCS (Ortho) Paul Winterton, MD David Zeman, MD Niket Shrivastava, MD William Sterett, MD John Tompkins II, MD Christopher Walsh, MD Jay Winzenried, MD Michael Shuler, MD Peter Stern, MD Steven Tooze, MD Eric Walsh, MD Edmund Witkowski, MD Dean Ziegler, MD Paul Siatczynski, MD John Steubs, MD Steven Topper, MD Bradley Walter, MD James Wittig, MD Jeffrey Zilberfarb, MD Steven Sides, MD Christopher Stevens, MD Richard Topping, MD Peter Wang Jr, MD Felasfa Wodajo, MD Joseph Zimmerman, MD Kanwaldeep Sidhu, MD David Stevens, MD Brian Torpey, MD Keith Wapner, MD Marcella Woiczik, MD Ryan Zimmerman, MD Michael Sidor, MD Bruce Stewart, MD Brian Torre, MD Daniel Ward, MD Andre Wolanin, MD Christopher Zingas, MD Jack Siegel, MD David Stewart, MD Laura Torres-Barre, MD Lyn Ward, MD Brian Wolf, MD Brian Zirgibel, MD Paul Sienkiewicz, MD John Stirton, MD Pedro Tort-Saade, MD William Warden III, MD Jennifer Wolf, MD Eli Ziv, MD James Sieradzki, MD Kristopher Stockton, MD Jon Toussaint, MD William Warner Jr, MD Steven Wolf, MD Donald Zoltan, MD Jeff Silber, MD Andrew Stoeckl, MD Sean Tracy, MD Russell Warren, MD Tracy Wolf, MD Gordon Zuerndorfer, MD Daniel Silcox III, MD Edward Stokel, MD Joseph Trader, MD Steven Washburn, MD Joel Wolfe, MD M True, MD Terry Siller, MD Kevin Stone, MD Steven Tradonsky, MD William Silver, MD Ross Stone, MD Michael Trainor, DO Lance Silverman, MD Michael Stowell, MD Timothy Trainor, MD Gary Simon, MD Harold Strauch, MD Roy Trawick, MD Please accept the grateful thanks of the PAC Robert Simon, MD Eric Strauss, MD Scott Trenhaile, MD Executive Committee and AAOS leadership for your Peter Simonian, MD Michael Strauss, MD David Trofa, MD generous support of the Orthopaedic PAC. Fortunately, Jon Simpson, MD Marlen Strefling, MD Thomas Trumble, MD Daniel Singer, MD Charles Stroud, MD Tsu-Min Tsai, MD thousands of our orthopaedic colleagues have learned Ira Singer, MD Warren Strudwick Jr, MD Kenneth Tuan, MD that contributing to the PAC is an investment in our William Singer, MD Jonathon Struemph, MD Dominick Tuason, MD Vineet Singh, MD Joseph Stuart, MD James Tucker Jr, MD professional future and in assuring that our patients Upendra Sinha, MD Kyle Stuart, MD John Turba, MD will have access to the orthopaedic care they deserve. Gregory Sirounian, MD Joseph Styron, MD, PhD Joseph Turk, MD Thank you for your support of the PAC. Michael Sisk, MD Daniel Sucato, MD, MS Thomas Turnbaugh, MD Thomas Skalley, MD Matthew Sugalski, MD Michael Turner, MD

22 Access. Influence. Victories. | AAOS ORTHOPAEDIC PAC 2018 In Review: Federal Legislative Accomplishments

The American Association of Orthopaedic Surgeons (AAOS) Office of Government Relations monitors a wide variety of issues related to advancing the highest quality musculoskeletal health. Each year, the Council on Advocacy reviews and updates its Unified Advocacy and Regulatory Agendas, which guide the Office of Government Relations’ work in the legislative and regulatory arenas. With the primary objectives of enhancing access to and quality of orthopaedic care for our patients, major legislative and regulatory initiatives include Medicare reimbursement reform, addressing health information technology, increasing research funding, protecting in-office ancillary services, and increasing congressional awareness of the large and growing prevalence of musculoskeletal diseases.

LEGISLATIVE Act of 2015 (MACRA) this year that repeal Section 6001 of the Affordable Care AAOS requested, including improvements The year in review Act (ACA) and lift a ban on creation and to the cost performance category of expansion of physician-owned hospitals. Although the 115th legislative session was an MIPS, additional flexibility related to the impassioned and oftentimes highly partisan performance threshold, and a removal of for Congress and the Trump Administration, Research/Access/Serving Our Vets the mandate that meaningful use standards We have seen many more wins, including the AAOS Office of Government Relations become more stringent over time. (OGR) kept legislative and regulatory topics VA Prompt Payment, securing $30 million important to orthopaedics front and center. Medical Liability Reform annually in DoD funding for musculoskeletal Extremity War Injury (EWI) research, The following is a review of 2018 healthcare Medical Liability Reform continues to be protecting in-office ancillary services, $2 legislation, regulation, and other issues that a high-profile issue for AAOS and we have affect orthopaedic surgeons. seen loads of movement surrounding liability billion in funding for the National Institutes of reforms. The first, The Sports Medicine Health (NIH), 10 years of CHIP funding and In the 115th legislative session we have Licensure Clarity Act (H.R.302) was signed additional opioid funding. Additionally, many celebrated many AAOS specific wins. into law on October 5, after more than five other AAOS led bills that advanced including Perhaps the most notable is the repeal of the years of tireless advocacy. The legislation, important reforms to the Stark Law that would independent payment advisory board (IPAB). which originated from the American allow for coordinated care, antitrust reform Repealing this board—which was charged with Association of Orthopaedic Surgeons (AAOS), that would level the playing field between making recommendations to cut Medicare provides legal protection for traveling team physicians and providers, Mission Zero, which expenditures if spending growth reaches physicians and safeguards injured athletes’ a certain level—has been a top priority for provides grants and allow for DoD trauma timely access to health care professionals surgeons to be assigned to civilian trauma AAOS over the years. IPAB repeal is a great who best know their medical history. The centers and the Good Samaritan Act which example of all our advocacy efforts coming second, the Protecting Access to Care Act would provide protections for physicians together for success. Repealing the IPAB (PACA), passed the House, and provided a traveling to disaster areas. This is just a has been a topic at the National Orthopaedic $250,000 cap on non-economic damages. Leadership Conference as well as the snapshot of the work we are doing for you, subject of grassroots efforts that many of Ownership and your patients. We have many tentacles in you supported. Hundreds of orthopaedic Additionally, we work tirelessly to repeal the surgeons have gone to Capitol Hill and/or provisions in the ACA relating to physician- talked to their elected representatives about owned hospitals. Section 6001 specifically this issue, and our legislative and political prohibits the construction or expansion OGR team educated and whipped support for of hospitals owned in part or in full by repeal over an eight-year course. physicians. Repeal would provide patients greater access to quality health care, more Payment provider options and lower costs. AAOS has We continue to have an active voice in the helped with a number of physician fly-ins legislative and regulatory arena on Medicare on this issue, and as a result, Reps. Sam physician reimbursement, ensuring the Johnson (R-TX) and Sheila Jackson-Lee system is more flexible for providers across (D-TX) and Senator James Lankford (R-OK) all settings. We saw technical fixes to the introduced the Patient Access to Higher Medicare Access and CHIP Reauthorization Quality Health Care Act of 2017, which would

2018 ANNUAL REPORT 23 2018 in Review continued

the legislative arena and enjoy playing offense include AJRR and other AAOS orthopaedic encouraged this apply to unexpected and defense on a variety of issues. specialty registries. non-emergent OON as well). • Significantly improved network REGULATORY STATE AFFAIRS adequacy requirements. Our work expands deep into the regulatory Advocacy Victories for State agencies. Increasingly, we have seen the 2018 Defeated State Legislation Wins Orthopaedic Societies for the AAOS sent a letter of opposition to California regulations and physician burden rise and 2017–2018 Cycle with this we have taken a multi-pronged on a bill which would have created a single- State orthopaedic societies have had a approach to cut the red tape and help provide payer health care system in the state. successful cycle in advocating for patient regulatory relief. Our regulatory efforts ensure access to prevention and treatment of AAOS and the Florida Orthopaedic Society that orthopaedic concerns are addressed musculoskeletal conditions. Since 2016, expressed serious concerns with Senate even after the conclusion of the legislative state orthopaedic societies secured 15 and House bills on a 7-day limits without process and throughout agency rulemaking changes in the law that protect physician the requisite evidence could inappropriately and implementation stages. To this end, the ownership of ancillary services, end certain limit patients’ access to necessary pain regulatory staff works closely with Department harmful insurer practices, and promote management. The final bill created a “trauma” of Health and Human Services agencies such patient-centered policies. related exemption to their opioid limits. as the Federal Drug Administration (FDA), Centers for Medicare & Medicaid Services Protecting the Health of the Public AAOS, the Maryland Orthopaedic Association, (CMS), Agency for Healthcare Research and The Ohio Physical Therapy Association the American Medical Association, and the Quality (AHRQ), and the Centers for Disease introduced legislation if enacted would Medical Society of Maryland sent a letter in Control and Prevention (CDC). In addition, allow PT’s to evaluate, medically diagnose opposition to the Maryland legislature on a expertise in coding, reimbursement, and and determine a plan of therapeutic proposed law that would allow the use of the payment policy is shared across the Academy treatment for a patient. After over one title “physician” by non-physician clinicians. and with our members. The OGR also houses year of testimony and “interested party the AAOS’ practice management information meetings” all of the onerous provisions of AAOS and the Indiana Orthopaedic Society and educational efforts. Both are key services this legislation have been eliminated. successfully expressed serious concerns to our fellowship and members. with Senate Bill 243. The bill puts certain Despite Pennsylvania’s ongoing legislative hospitals at risk for being shut down by We were also very active in the regulatory efforts to halt the opioid addiction crisis, requiring that any hospital with less than space, to highlight a few wins that we have legislators previously did not realize that 2.0 average length of stay over a 12-month advocated for this legislative session: controlled substance prescriptions were period be denied a license. mandated by state law to be handwritten. • An inpatient rule code change from The Pennsylvania Orthopaedic Society 470 to 469 for total ankle replacement, ORTHOPAEDIC PAC (POS) brought this statutory deficiency to recognizing the increased complexity and 2018 was an exciting year for the the fore, where it was ultimately signed into increasing DRG reimbursement Orthopaedic PAC. In addition to the growth law by Governor Tom Wolf. • A rule addressed significant concerns of the Advisors’ Circle and record-breaking raised by AAOS related to mandatory resident involvement, the Orthopaedic National Conference of bundled payment programs (downsizing PAC had unprecedented access and CJR, canceling SHFFT). Insurance Legislators (NCOIL) representation, and broke all previous • Increased protection for small, solo, and Adopts AAOS Language fundraising records—cementing this as our rural practices under the Quality Payment The NCOIL has accepted AAOS best election cycle in our rich history. Program, and created more Advanced recommendations made in September 2017 Alternative Payment Models (APMs) into their Out-of-Network Balance Billing Thank you to all the generous PAC beginning in 2018, through CJR and Transparency Model Act. Here are the major members! Your contributions have enabled Medicare Advantage. wins for musculoskeletal patients in the participation in the many health care policy model legislation: discussions taking place in Washington, D.C. As a great example of our political, legislative and regulatory work coming • Defining usual, customary, and reasonable In closing, there are a number of advocacy together, OGR secured report language as the 80th percentile of FAIR Health. issues that AAOS is working on at any given that clarifies that the Centers for Medicare • Exempting emergency services from moment. We are continually evaluating and Medicaid Services (CMMI) may use notification requirements and creating orthopaedic health care policy priorities, their funds to support the development more reasonable requirements for non- analyzing specific pieces of legislation or and utilization of Qualified Clinical Data emergent OON providers. regulation, and coordinating with Congress Registries (QCDRs) as part of the Innovation • Strengthening requirements of insurers to and the agencies to provide valuable Center’s purpose of testing innovative audit their provider directories & networks input and solutions that advance access payment and service delivery models. at least annually, and requiring them to to specialty health care. We are non-stop update them monthly. working to advance favorable bills that This clarification will assist AAOS when • Key patient protections limiting out-of- affect your practice and when we must, kill federal CMMI funding is desired to support pocket costs to in-network cost sharing bills that would be catastrophic and impede demonstration and research projects that requirements per their existing policy (we on the delivery of care.

24 Access. Influence. Victories. | AAOS ORTHOPAEDIC PAC Residents in Action

2018 RESIDENCY • Each individual's name will be listed in the PAC annual report, on the PAC website and Help us reach our PROGRAM CHALLENGE at the PAC booth at the annual meeting. Get Your Program to 100%!! 2019 GOAL Resident involvement is crucial in Residents are eligible for inclusion into the strengthening the stature and influence of Futures Capitol Club by meeting any of the OF $2M! the AAOS and the Orthopaedic PAC in our following criteria: nation’s capital. • $100 donation in one calendar year Nearly 400 residents, a 78% increase from • $250 in total contributions during residency last year, across 62 residency programs • Donation of any amount to the PAC for supported our PAC in 2018. Congratulations four years in a row during residency to the following 8 residency programs that • A donation of $25 and a ‘grand rounds’ reached 100% PAC participation in 2018: talk to your residency about advocacy • Coordinating the donations of at least Renew Your • Columbia University 10 other residents from your program to • Maimonides Medical Center the PAC (please contact us to set this PAC Membership on • Philadelphia College of up using our program-specific mobile Osteopathic Medicine donation platform) Your Cell Phone Today • University of Connecticut • University of Hawaii For more information on resident PAC • University of Iowa involvement and tools you can use to • University of Kentucky increase education efforts, please visit the TEXT AAOS TO 41444 • University of Puerto Rico Orthopaedic PAC Resident Toolkit at www.aaos.org/pac. 78% INCREASE IT’S THAT EASY! IN SUPPORT OF OUR PAC BY RESIDENTS Congratulations to the Residents that joined the Futures Or renew online Thank you to all 2018 Capitol Club in 2018: Kenoma Anighoro MBA, MD www.aaos/org/pac Resident Supporters Christopher Anthony, MD Eric Baranek, MD THE FUTURES CAPITOL CLUB Ilya Bendich, MD Nicholas Bonazza, MD FOR RESIDENTS Matthew Burrus, MD The Orthopaedic PAC Capitol Club was Jacob Calcei, MD established as a way for the AAOS PAC to David Casper, MD recognize those individuals who have shown a Bonnie Chien, MD strong commitment to advocacy. The Capitol Kevin Cronin, MD Club has grown yearly since its inception but Molly Day, MD it has largely been unattainable for residents Spencer Dowdle, MD secondary to their monetary constraints. Ryan Eggers, MD, MA Nicholas Foeger, MD, PhD In an effort to help recognize those residents Marcus Ford, MD who have also shown a strong commitment to Mitchell Fourman, MD the PAC, the AAOS PAC Executive Committee Stephen Greenfield, MD approved the Futures Capitol Club. This club Christen Hoedt, MD is exclusively for residents and will provide Andrew Jensen, MD them with the same benefits bestowed upon Michael Knudsen, MD James McKenzie, MD members of the Capitol Club. Some of these Catherine Olinger, MD benefits include: Christian Pean, MD Michelle Ramirez, MD, MPH • Complimentary entry and drink tickets to Prem Ramkumar, MD,MBA the resident reception that will be held at Shane Rothermel, MD the annual meeting in 2018; Augustine Saiz, MD • A ribbon signifying Future Capitol Club Elizabeth Scott, MD participation at the annual meeting (and James Seymour, DO NOLC) in 2018; Ahmed Siddiqi, DO • Invitation to Capitol Club events such as Justin Smith, MD the reception at NOLC and similar events Benjamin Wiseley, MD throughout the year; Megan Wolf, MD

2018 ANNUAL REPORT 25 Stacie Monroe, Senior Director, Orthopaedic PAC, [email protected] Meredith Allison, Senior Manager, Orthopaedic PAC, [email protected] Fred Essis, Manager, Orthopaedic PAC, [email protected] ACCESS. INFLUENCE. VICTORIES.