2020 AAN Annual Report by American Academy of Neurology

2020 ANNUAL REPORT

LEADERSHIP

OUR VISION

To be indispensable to our members. OUR MISSION

To promote the highest quality patient-centered neurologic care and enhance member career satisfaction. OUR CORE VALUES

* Photo was taken prior to the COVID-19 pandemic

Core values reflect the driving forces behind our actions to achieve our mission.

2020 Annual Report | American Academy of Neurology

COMMUNITY

PROFESSIONALISM

We work together as neurology professionals and Academy staff to accomplish the mission and vision of the Academy and to share our common experience and expertise in belonging to and serving the neurology community.

We work collaboratively as a committed team, to share our expertise and use informed decision-making in service of others to improve the quality of neurological care.

LEADERSHIP

We embrace the dignity and uniqueness of every person, being sensitive and empathetic to the needs of others.

We guide, inspire, and empower members, patients, and other stakeholders to make a positive difference in their own lives and the lives of others in the neurology community, and to contribute to the Academy mission. INTEGRITY

We set and maintain the highest ethical standards for ourselves and our programs, products, and services.

RESPECT

INCLUSION, DIVERSITY, EQUITY, ANTI-RACISM, AND SOCIAL JUSTICE (IDEAS)

We commit to intentional action to be a fully inclusive, deliberately diverse, and anti-racist organization that respects and values our membership, our staff, and the communities we serve. We will actively promote equity and social justice in neurology and the neurosciences.

FROM THE PRESIDENT AND CHIEF EXECUTIVE OFFICER At the AAN, we embrace challenges. We pride ourselves in anticipating and meeting challenges head on, tackling the important issues that affect you as a neurology professional, ensuring we provide you with education opportunities that are second to none. We are invested in your success and we strive to live up to our mission to promote the highest quality patient-centered neurologic care and enhance your career satisfaction. We are invigorated by the challenges of our work. We knew 2020 would bring significant change to the AAN: For the first time in 21 years, we were going to have a new chief executive officer with the retirement of Catherine M. Rydell, CAE. To succeed her, the Board of Directors chose Mary E. Post, MBA, CAE, who had formerly worked at the AAN for 16 years in a variety of positions, culminating as Deputy Executive Director. We anticipated a seamless transition with Cathy passing the baton off to Mary at the April Annual Meeting in Toronto. The best-laid plans of 2020 have gone awry. The novel coronavirus that sparked the COVID-19 pandemic upended the AAN’s plans for the year. We did what many organizations, businesses, and households were doing—we pivoted. Recalibrated. Reimagined. Recommitted.

Our concerns were many: the stability of our membership and AAN finances after the first-ever cancellation of our Annual Meeting; the safety and well-being of our staff and members; the ability to effectively deliver education, science, practice support, and other products you value; how to transition from face-to-face conferences to virtual meetings; how to maintain our success in advocating for telehealth, research funding, and coding issues that will support our membership; and finding a successor for our chief financial officer who was scheduled to retire at the end of July. While we analyzed, adjusted, and improvised, we never lost sight of our vision to remain indispensable to you, our members. After all, we would not exist without you. Our remarkable ability to overcome barriers, expand our reach, and thrive during 2020 was made possible by the endless hours of hard work from our hundreds of volunteer members on committees, subcommittees, work groups, and task forces. They helped shape solutions and challenged our staff—who worked virtually to make those solutions a reality. Our hearts and souls were sustained by stories of our members defying adversity and creatively improvising solutions of their own in

2020 Annual Report | American Academy of Neurology

their hospitals and clinics and quickly adapting to new technologies to care for their patients. 2020 was a year that truly tested all of us, everywhere, as we’ve never been tested before. But we have been strengthened by adversity, and the resilience of the Academy, staff, and members has helped make the AAN more valuable now than ever before, ending the year with a healthy membership of 36,000 and growth in many key segments—four percent more than we started the year! How did we do it? Turn the page and we’ll tell you.

OUR HEARTS AND SOULS WERE SUSTAINED BY STORIES OF OUR MEMBERS DEFYING ADVERSITY AND CREATIVELY IMPROVISING SOLUTIONS OF THEIR OWN IN THEIR HOSPITALS AND CLINICS AND QUICKLY ADAPTING TO NEW TECHNOLOGIES TO CARE FOR THEIR PATIENTS.

James C. Stevens, MD, FAAN President, American Academy of Neurology

Mary E. Post, MBA, CAE Chief Executive Officer, American Academy of Neurology

As we learned more about the coronavirus and its quickening spread, sharing accurate, timely information with you became a major priority. 3

2020 Annual Report | American Academy of Neurology

YOUR PRACTICE

The COVID-19 Neurology Resource Center at AAN.com/COVID19 and our weekly COVID-19 digest email kept members up to speed about diagnosis and treatment experiences around the globe, what researchers were uncovering, as well as additional resources from the AAN and others. Foremost in our minds were the impacts of this disease on neurology patients. They needed to safely continue their care, and neurologists needed to safely provide it. Through articles in Neurology Today® and AANnews®, we were uplifted by AAN members doing extraordinary things in their communities. Like Portland neurology fellow Claire Clelland, MD, PhD, who collaborated with a Portland company to recycle and decontaminate water bottles to mass produce face shields and N95 masks. Ochsner Health’s Korak Sarkar, MD, leveraged the Oschner Neurosciences medical 3D lab’s engineering and manufacturing expertise in combination with existing local materials and fabrication resources to produce face shields, gowns, and sanitizers. Academy members and staff fervently advocated in Washington, DC, for assistance for neurologists. As relief rolled out from Congress, the Academy provided members with helpful webinars and resources to

understand the Small Business Paycheck Protection Program, Economic Injury Disaster Loan Program, and other opportunities. The Neurology Career Center at Careers.AAN.com shared a listing of employers in need of temporary, short-term physician resources to help neurologists displaced due to clinic closures or other issues. The AAN Institute Board of Directors went one big step further and created the Neurology COVID-19 Relief Fund to assist our colleagues in the neurologic community with hardship support grants for individuals and practices impacted by the pandemic. The AAN provided a $100,000 seed fund and an additional $150,000 match. Contributing sponsors included Boston Scientific, Wolters Kluwer, Lundbeck, LLC., Teva, Amneal Pharmaceuticals, Inc., Merz, Amlyx Pharmaceuticals, Ovid Therapeutics, McKesson, Verana Health, and BrainStorm Cell Therapeutics. There were 15 grant applications totaling $259,580 approved, with recipients grateful for the support, which allowed them to continue to see their patients and protect their essential staff. As lockdowns lifted, members needed guidance to safely reopen their neurology

2020 Annual Report | American Academy of Neurology

practices, and the AAN published webinars and articles to help show the way to safely expand in-person visits and services. For many neurologists, telemedicine became a vital tool in connecting with their patients. Telehealth was new for many of our members and AAN staff and member volunteers quickly developed a webinar on how to set up telemedicine in practice. Even six months later, the recorded webinar continues to provide value as it has been viewed more than 13,600 times. Teleconferencing, whether through Zoom, Skype, Webex, or other online meeting tools, replaced face-to-face gatherings. Members relied on the Academy’s SynapseSM Online Communities more than ever to exchange information and support one another. When members continued to have difficulties procuring essential personal protective equipment, the AAN helped connect them with a broker who provided access to highly discounted masks, shields, and gowns. Your resiliency has been tested as it has rarely been tested before as this pandemic affects personal and professional lives simultaneously. Along with its concerns for your physical health, the Academy sought to

bolster your body and spirits with additional wellness resources. Beyond the pandemic, there was a great deal of other business that had to be accomplished. Our advocacy efforts on behalf of practicing neurologists convinced the Centers for Medicare & Medicaid Services to commit to a new payment structure for evaluation and management services as finalized in the 2021 Medicare Physician Fee Schedule. To help members provide optimal care for their patients, the Academy published guidelines on patent foramen ovale and secondary stroke prevention, thymectomy for myasthenia gravis, and treatment for insomnia and disrupted sleep behavior in children and adolescents with autism spectrum disorder. Quality measures for dementia management, neurology outcomes, and headache were produced. The Axon Registry® expanded its collaboration with Verana Health to include data ingestion to improve data quality and member experience. And the General Neurology Task Force identified ways the Academy could help strengthen and grow this important component of our specialty.

YOUR PATIENTS 5

2020 Annual Report | American Academy of Neurology

In any given year, the AAN delivers awardwinning patient education resources that are highly valued. Members seeking reliable information to share with patients during the public health emergency needed to look no farther than the COVID-19 Neurology Resource Center web page, which amassed a range of articles from the AAN’s popular patient magazine, Brain & Life®. Topics included understanding the difference between an essential and a non-essential visit, how to prepare for a telehealth appointment, and the impact of COVID-19 on various diseases such as stroke and multiple sclerosis. All the COVID-19 articles were available to our Spanish-speaking readers. Brain & Life also launched redesigned pages on core neurologic conditions that highlight all Brain & Life content in those areas. Midway through 2020, the AAN released a compelling compilation of heartfelt video messages from numerous celebrities who have graced the covers of Brain & Life including musician Peter Frampton and actors Emilia Clarke and Blair Underwood. Themselves touched by neurologic disorders, these stars inspired viewers with how they were coping with the crisis and meeting each day with strength and courage to persevere.

One of the AAN’s strategic plan goals for 2020 was to increase the reach of AAN resources to enhance patient-centered neurologic care. By doing this, we can help demonstrate the value of neurologists to the public; help members educate their patients on neurologic disease; and leverage the power of patients and their stories to help us advocate on Capitol Hill. To assess the Academy’s current resources and make recommendations to the Board of Directors on how to best leverage them, President Stevens created a new PatientPublic Strategy Task Force, chaired by President Elect Orly Avitzur, MD, MBA, FAAN, who was also the editor-in-chief of Brain & Life. With each issue of Brain & Life estimated to reach of 1.6 million readers, and each quarterly copy of Brain & Life en Español shared by more than 100,000 readers, it should not be surprising that the awardwinning patient magazine and its companion online website BrainandLife.org became the centerpiece of the Patient-Public Strategy Task Force recommendations that were accepted by the Board of Directors in September.

2020 Annual Report | American Academy of Neurology

EDUCATION AND RESEARCH 7

2020 Annual Report | American Academy of Neurology

Across the course of the pandemic, the AAN was committed to keeping neurology professionals and patients informed about the effects of COVID-19 on neurology education and research activities.

2020 Annual Report | American Academy of Neurology

EDUCATION AND RESEARCH The historic but necessary decision to cancel the Annual Meeting planned for Toronto left a tremendous—but temporary—void in continuing education and promotion of the latest neuroscience discoveries. We created the AAN Science Highlights website so our abstract authors could present their research. This permitted authors to upload a poster or slide set and record an audio and/ or video presentation to accompany it. The site contains more than 1,600 presentations and has received over 400,000 visits since its launch. Through a generous grant from the American Board of Psychiatry and Neurology, we were able to offer the 2019 Annual Meeting On Demand and Annual Meeting NeuroSAE products to members and ABPN diplomates at no charge. The AAN, through its ongoing partnership with the American Brain Foundation and its funding partners, awarded 18 research fellowships to a prestigious list of recipients who embody the future of neurology. We look forward to significant contributions from them in the quest to treat and cure brain disease. The AAN enhanced the technology and programming necessary to support our online education offerings. The two-day virtual Sports Concussion Conference, intended to be 9

held in our headquarters city of Minneapolis, was a hit, with 440 registrants. The virtual format proved to be a draw for international participation, as nearly 50 international registrants participated in the conference, almost triple the amount from 2019. Moreover, 68 percent of participants attended the Sports Concussion Conference for the first time. Our virtual Advanced Practice Provider (APP) Neurology Education Series drew nearly 800 registrants. It was the highest level of participation of APPs for any form of AAN programming and continued to prove the AAN’s ability to meet the needs of APPs, even in a virtual-only environment. Additionally, the online NeuroReady: APP Edition course was launched, offering a new learning opportunity to provide foundational knowledge for APPs who are one to three year’s out of graduation and are new to the field of neurology. The November 6–7 virtual Fall Conference was also an overwhelming success, attracting more than 800 participants. The conference featured a track of updates in neurology, practice management, and various clinical programs geared towards a virtual audience. The conference featured a mixture of prerecorded and live talks, paired up with live

2020 Annual Report | American Academy of Neurology

attendee question-and-answer sessions. There were virtual networking opportunities and social events for attendees to participate in. Those who were unable to attend the conference as it happened were able to purchase the Fall Conference On Demand, offering up to 21.5 CME credits. Neurology Question of the Day launched April and is a free education mobile app for AAN members serving up daily questions from various neurologic subspecialities. It was developed to meet the need for shorter succinct learning opportunities, i.e., microlearning, which requires less commitment making it more accessible for the average, time-strapped learner. It was an immediate success and gained nearly 6,000 subscribers by years end, and continues to grow. Throughout the year, members’ online learning was augmented by the new NeuroBytes video series and NeuroLearnSM topics, which presented what neurologists needed to know about COVID-19, an introduction to teleneurology, conducting the neurologic exam via telemedicine, and complications and management of COVID-19. The COVID-19 video series hosted by Richard S. Isaacson, MD, FAAN, interviewed AAN

leaders and physicians from around the world and informed neurologists and patients about the pandemic and its effects on the field of neurology overall. The AAN also created a new webinar series, “Neurology on the Leading Edge,” providing a global perspective from Italy on the impact of COVID to how the US is failing the COVID-19 stress test. Two new NeuroSAE® editions were launched, providing additional resources for members to support their continuing education needs and earn self-assessment CME. The NeuroReady: Continuing Certification (Second Edition) was refreshed and launched to help neurologists prepare for the American Board of Psychiatry and Neurology (ABPN) recertification exam. Continuum: Lifelong Learning in Neurology® has long been a mainstay and was relied upon more than ever by members. Subscriptions grew by more than three percent overall. The number of unique users doing Continuum® CME grew by 10 percent and the number of tests taken increased by 14 percent. Twitter followers jumped 227 percent, from 987 to 3,230, and Facebook followers increased nearly 10 percent, from 7,794 to 8,589.

A series of webinars exclusively for educators was hosted by Ralph L. Sacco, MD, MS, FAHA, FAAN, immediate past president of the AAN. These webinars communicated vital information on how neurology departments could manage the financial repercussions of COVID-19; reactivation of departments clinical operation, education, and training following closure; and sharing of best practices with neurology department chairs and academic business administrators. The Academy also produced helpful resources for clerkship directors, program directors, and medical students. Members also benefited from the Neurology® journals, which published over 110 COVID19-related articles. Neurology, under the direction of the new Editor-in-Chief José G Merino, MD, MPhil, FAAN, created an auxiliary COVID-19 website, publishing dozens of invited editorials and commentaries relating to physician experiences during the COVID-19 pandemic, and the Neurology podcast and Neurology MinuteTM daily briefing podcast posted special interviews associated with the crisis. The Industry Principles Task Force offered its recommendations to the Board of Directors on how the AAN can maintain productive and

ethically informed relationships with valued partners in the pharmaceutical and medical device industry. A prime example of industry’s vital assistance for AAN initiatives is our Leadership Program, which is funded by the Academy and outside organizations. More than $500,000 in support—a 33-percent increase from 2019—was received for the 2020 program year from returning supporters ACADIA Pharmaceuticals, Inc.; The Allergan Foundation; Allergan, Inc.; Biogen Inc.; Greenwich Biosciences, Inc.; Lundbeck, LLC; Neurocrine Biosciences, Inc.; Sanofi Genzyme; Supernus Pharmaceuticals, Inc.; and UCB, Inc., as well as new supporters Acorda Therapeutics, Inc.; Alexion Pharmaceuticals, Inc.; Eisai Inc.; and Genentech, Inc., a Member of the Roche Group. The AAN’s Leadership Program plays a crucial role in training neurologists to become leaders in neurology. Alumni of the program supported each other from the beginning of the pandemic. A special edition of the Leadership Alumni Newsletter brought relevant and useful information related to the COVID-19 pandemic and wellness during

2020 Annual Report | American Academy of Neurology

this time. A webinar was offered on lessons learned from leadership in crisis. During the year, recommendations stemming from 2019–2020 group projects were presented to the Board of Directors by participants in the Diversity Leadership Program, Transforming Leaders Program, and Emerging Leaders Program.

We created the AAN Science Highlights site so our abstract authors could present their research.

* Photo was taken prior to the COVID-19 pandemic

ADVOCACY IN ACTION

2020 Annual Report | American Academy of Neurology

For years, the AAN has strongly advocated that Centers for Medicare & Medicaid Services (CMS) recognize the value of cognitive care and incentivize the time that neurologists spend with patients. This focus on evaluation and management (E/M), as well as the expansion of telehealth for neurologists and their patients in this time of COVID-19, paid off when CMS released its final 2021 Medicare Physician Fee Schedule. In positive news for 2021, CMS expects payments across the specialty of neurology to increase by six percent with variations depending on the individual provider’s practice. According to its final rule issued on December 1, CMS: • Implemented a new coding structure and increased payment for office E/M services that benefits neurology • Expanded coverage to over 60 telehealth services with some continuing past the COVID-19 public health emergency • Finalized Quality Payment Program policies updating the Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APMs) The AAN lauded CMS for these changes while continuing to advocate to Congress that lawmakers not delay their implementation. To help guide members through the

ramifications of these improvements, the Academy held a free webinar for members in December. Although the AAN’s biggest win did not come until the end of the year, the fight against COVID-19 produced several key victories in our efforts to surmount the daunting challenges to safely practice medicine amid lockdowns and quarantines. Having advocated for several years in support of telehealth and payment parity, particularly in underserved rural areas, the AAN was a leader in breaking down barriers and accelerating acceptance of the technology nationwide. We cut through a thicket of medical licensure and liability complications that held physicians back from giving proper care to patients. As the Trump administration declared a public health emergency, the AAN joined the American Heart Association, the Council of Medical Specialty Societies, the Infectious Diseases Society of America, and other organizations in calling on Congress to provide funding for personal protective equipment.

2020 Annual Report | American Academy of Neurology

The Academy signed on to an American Medical Association letter to urge the Department of Health and Human Services to help provide financial support for physician practices. We joined the Regulatory Relief Coalition open letter to health plans to suspend prior authorization requirements, and we urged commercial payers to cover telehealth services. Over the year, we sent 11 extensive AAN letters and joined 40 coalition signon letters to Congress, the vice president, Centers for Medicare & Medicaid Services, and private payers. The Academy’s efforts were supported by more than 2,800 US members who engaged with their lawmakers. The second annual AAN Legislative Summit took place in September with 95 members from 47 states meeting with their Senate offices via video or conference call to urge Congress to support the implementation of the new payment structure for E/M services as proposed in the 2021 Medicare Physician Fee

Schedule. AAN President Stevens coauthored an op-ed in MedPage Today titled “Medicare Is Doing the Right Thing on E/M Payment—But We’re Not Across the Goal Line Yet.”

MEDICARE IS DOING THE RIGHT THING ON E/M PAYMENT—BUT WE’RE NOT ACROSS THE GOAL LINE YET.

OUR STAND

2020 Annual Report | American Academy of Neurology

One of our most decisive and profound acts in the AAN’s 72-year history was in response to the killing of George Floyd in the Academy’s headquarters city of Minneapolis in May. This tragic event could not pass without the AAN’s deep reflection and commitment to action. AAN.COM/IDEAS 14

2020 Annual Report | American Academy of Neurology

AAN POSITION: SYSTEMIC RACISM AND INEQUITIES IN SOCIETY June 4, 2020 Dear Members, Earlier today, the American Academy of Neurology Board of Directors unanimously approved the following Position Statement on Systemic Racism and Inequities in Society: The American Academy of Neurology (AAN) condemns racism and deplores the impact that historic, deeply rooted, and systemic inequities have on our members, our patients, the communities we serve, and our nation. Throughout the COVID-19 pandemic, we have witnessed a disproportionate burden of illness and death on communities of color. This unacceptable reality is the result of centuries of systemic inequities in our society that have infected the health care system of which we are all a part. In the midst of this global crisis, we have seen violent deaths that also compel us to confront the legacy of race and racism in our society. George Floyd was an unarmed black man publicly killed on the street while in police custody. Breonna Taylor was an unarmed black woman killed in her own home after being shot at least eight times by police. Ahmaud Arbery was an unarmed black man who was jogging when he was chased, confronted, shot, and killed by two white men with a shotgun. These three shocking and senseless killings are part of a long legacy of society devaluing the lives of men, women, and children of color.

2020 Annual Report | American Academy of Neurology

The AAN’s Vision is to be indispensable to its members; our Mission is to promote the highest quality patient-centered neurologic care and enhance member career satisfaction. We cannot be indispensable if we remain silent in the face of an issue that so profoundly impacts so many of our members. We cannot promote the best care for our patients or enhance the careers of our members if we ignore the pervasive inequities that are often insurmountable barriers to both. In the face of these historic and systemic issues, it is not enough to not be a racist organization. We must speak out and lead in order to ensure change. To achieve our Vision and Mission, we must be an anti-racist organization. The AAN commits to enact sustained change for our members and patients. In this historic moment, we are resolved to pursue bold action beyond rhetoric and stand with the communities we serve to eliminate inequities that are antithetical to our values and the pursuit of our Vision and Mission. The AAN Board of Directors also approved the creation of an AAN Special Commission to recommend specific actions by July 15, 2020, to implement the position statement throughout the organization. The recommendations of the Special Commission will be reviewed by the AAN’s Equity, Diversity, and Inclusion Joint Coordinating Council and provided to the AAN Board of Directors.

Many have contributed to the AAN’s efforts for equity, diversity, and inclusion. We are now calling on all members to take action to uphold our AAN core values of diversity and equity. Now more than ever, we are committed to lasting change. Sincerely, James C. Stevens, MD, FAAN President, American Academy of Neurology Jeffrey C. McClean II, MD, FAAN Chair, AAN Equity, Diversity, and Inclusion Joint Coordinating Council Mary E. Post, MBA, CAE Chief Executive Officer, American Academy of Neurology

November 20, 2020 Dear Members,

Along with this Position Statement on Systemic Racism and Inequities in Society, a new Underrepresented in Neurology Section was formed, and members can follow all the Academy’s progress on these issues on the new Equity, Diversity, & Inclusion Resource Center at AAN.COM/IDEAS. The Equity, Diversity, and Inclusion Joint Coordinating Council formed an AAN Special Commission on Racism, Inequity, and Social Justice, which made numerous recommendations that were accepted by the Board of Directors, as announced by President Stevens:

Inclusion is the reason the AAN was founded. In 1948, the AAN was created because there was a need for an inclusive organization that would be the home for all neurologists. Inclusion would make our specialty much stronger, and through it our patients would receive much better care. More than 70 years later, we are proud to share with you how our commitment to inclusion continues with your AAN Board of Directors unanimously accepting the report of the AAN’s Special Commission on Racism, Inequity, and Social Justice, providing an actionable roadmap to be an anti-racist organization as outlined in the AAN’s position statement on racism and inequities in society issued on June 4, 2020. We firmly believe the recommendations made by the Special Commission will further the intentions of our founders to be a home where everyone feels included and belongs, while still maintaining our core activities—unparalleled education, science, advocacy, and networking that you depend on from the world’s largest association of neurologists. Specifically, the Board of Directors has agreed to a new organizational goal to demonstrate and communicate our commitment to be a fully inclusive, diverse, and anti-racist organization that promotes neurologic health equity and actively works to recruit and support a diverse membership. Our core values of Community, Leadership, Integrity, Professionalism, and Respect remain, and we are expanding our Diversity & Equity core value to now include Inclusion, Diversity, Equity, Anti-racism, and Social Justice (IDEAS), in which we commit to intentional action to become a fully inclusive, deliberately diverse, and anti-racist organization that respects and values our membership, our staff, and the communities we serve. We will actively promote equity and social justice in neurology and the neurosciences.

2020 Annual Report | American Academy of Neurology

In addition, the Board accepted the following recommendations of the Special Commission: • Ensure that the CEO and Board of Directors are committed to and accountable for creating an anti-racist, inclusive organization • Ensure all programming is created and implemented in an antiracist and inclusive manner • Educate and train leaders, members, and staff about the nature of anti-Black and other forms of racism • Recognize the substantial contributions to the AAN and neurology by members who are Black or other underrepresented in neurology (UIN) racial and ethnic groups • Engage proactively and intentionally in two-way communication with Black and other UIN members as well as nonmembers from communities of color • Recruit, retain, and promote a racially diverse staff We would like to thank the members of the Special Commission and the AAN’s Equity, Diversity, and Inclusion Joint Coordinating Council for their outstanding work. To be a fully inclusive, diverse, and anti-racist organization strengthens the AAN, makes our specialty stronger, and most importantly, improves our ability to continue our mission of delivering the highest quality patient-centered neurologic care. Please look for more progress updates from us in the months ahead. Thank you for the opportunity to lead our incredible organization— where truly everyone feels included and belongs. Sincerely, James C. Stevens, MD, FAAN President, American Academy of Neurology

WHAT HAVE WE LEARNED FROM

2020? 2020 Annual Report | American Academy of Neurology

IN ONE WORD: PLENTY! Every crisis presents opportunities if you are resilient and able to adapt to the shifting environment. To meet the needs of our members and staff we had to adjust some goals and create new ones. It was critical throughout the year to maintain clarity of purpose and consistently communicate actionable priorities while the organization’s strategy was realigning with member needs. We all are in this together, and the importance of maintaining solid relationships—both internal and external to the organization, from members and collaborative partners to vendors and staff—meant we had strong allies on our side. Remarkably, we ended 2020 with more AAN members than 2019! That tells us we are continuing to bring you value even in what can seem the worst of times. The pandemic also reaffirmed the power of personal resilience and well-being in both our professional and personal lives. We empathize with those who have experienced loss this year and hope that the AAN has helped you get to a better place during the crisis. While there is still a significant amount of uncertainly about how long this lingering disruption will continue, the direction our

economy will take, and the impact it will have on our members and patients, we know with clarity our mission, vision, and values. Unpredictable environments provide a great chance to learn, to reimagine, and to reposition for growth even as we deliver the “core services” expected by our membership. Our members can look forward to new, innovative, and highly interactive opportunities to engage in 2021. We will commit ourselves to presenting the best— and first-ever—virtual Annual Meeting, conferences, and education opportunities that are available to neurologists and neuroscience professionals, whether they are in-person, virtual, or a hybrid. We will continue our support for groundbreaking research and the neuroscientists who are taking us to exciting new places. We will deliver high-quality tools and resources to our members in practice and in academic departments so they can do their jobs effectively, efficiently, and with financial stability. We will passionately advocate for you and your patients with lawmakers and regulators, so you have fewer burdens and more accessible care that builds on the best of technology. We will continue to emphasize wellness and provide resources to help you

2020 Annual Report | American Academy of Neurology

maintain your physical and emotional health during these trying times. We will do this with the active engagement of more than 6,800 member volunteers and a staff of 200 that is second to none. We have confidence in the Board of Directors who guided us through 2020, and we anticipate the new Board elected by members in April 2021 and led by our current President Elect Orly Avitzur, MD, MBA, FAAN, will be well equipped to handle new challenges to come. We sincerely hope the best for you and your work in 2021. Stay healthy. Stay strong. James C. Stevens, MD, FAAN President, American Academy of Neurology Mary E. Post, MBA, CAE Chief Executive Officer, American Academy of Neurology

MEMBERSHIP SUMMARY MEMBERSHIP DEMOGRAPHICS

MARKET SHARE

US Members:

28,000

US Neurologists:

92.5%

14,500

International Members: 8,000

2020 Annual Report | American Academy of Neurology

*Based on 2019 data

36,000 TOTAL MEMBERS BREAKDOWN OF US MEMBERS Neurologist/Physician: 52.3% Junior/Intern: 16.4% Student: 12.8% Senior/Honorary: 7.1%

Researcher: 3.1% Advanced Practice Provider: 7.0% Business Administrator: 1.3%

OUR MEMBERS REPRESENT 144 COUNTRIES 20

2020 Annual Report | American Academy of Neurology

81¢

Per every dollar directly applied to member benefits

2020 Annual Report | American Academy of Neurology

FINANCIAL SUMMARY

2020 REVENUE: $54.8M

2020 EXPENSES: $47.5M 19%

21%

24% 43%

17%

16%

12%

14%

Royalties & Publications: 43% Conferences & Education: 3% Grants & Gifts: 14% Membership Dues: 16% Other: 24%* * i ncludes proceeds from Event Cancellation Insurance Claim 22

2020 Annual Report | American Academy of Neurology

15%

Education: 21% Membership: 17% Clinical Practice: 7% Grants & Awards: 15% Publications: 12% Advocacy: 9% General & Administrative: 19%

2020–2021 STRATEGIC PLAN The Academy is a leader among national medical specialties in recognizing the importance of foresight in serving as the basis for executing leadership in the form of strategic planning. Through foresight, we discern, analyze, and act on potential futures. Foresight is a critical component of leadership—an essential part of the fiduciary responsibility of the AAN and AAN Institute Boards of Directors. The Academy’s foresight practice and the Academy itself were substantially challenged in 2020. The COVID-19 crisis resulted in the cancellation of the Academy’s 2020 Annual Meeting, virtually all staff working remotely, and development of virtual platforms for the delivery of Academy products and services. The crisis has created a moment of great uncertainty for both the neurology profession and nonprofit associations. And the crisis isn’t occurring in isolation. The activism for racial justice taking place across the nation is intersecting with the health and economic disparities laid bare by the virus. The COVID-19 crisis will increasingly serve as a compounding backdrop for many other issues we face. The Academy, led by Carlayne E. Jackson, MD, FAAN, chair of the Board Planning

Committee, uses a collaborative strategic planning process that engages both physician leaders and the AAN staff on a continuous cycle to reassess the Academy’s mission, vision, values, goals, and objectives. Prior to the COVID-19 pandemic, and given the recent trends in technology, health care delivery, and payment systems, the Board and Executive Team participated in a strategic planning session in January 2020 to incorporate a “futurist’s framework” into the Academy’s strategic planning process. Shortly after its retreat, the Board responded in March and April to the initial wave of the COVID-19 crisis, identifying immediate priorities for members and staff. The AAN Executive Team and senior leaders, under the leadership of CEO Mary Post, immediately embarked on developing multiple future scenarios that were considered by the Board in the context of the Academy’s existing 2020 strategic and operational plan. A “most likely” Lingering Disruption scenario was embraced by the Board, which framed deliberation by the Executive Team on programmatic priorities for building the 2021 AAN budget. The scenario elements included key drivers related to the severity of the pandemic, including its impact on

2020 Annual Report | American Academy of Neurology

health care and economic consequences, neurology disruption and adaptation, and AAN operation constraints and opportunities. A 2020 COVID-19 Member Impact Survey conducted by the Academy’s Insights Team gave us a snapshot in time of the challenges faced by AAN members and their patients. New priorities emerged for the future. The Academy’s prioritization efforts included new initiatives embraced as a result of the pandemic and efforts to be a fully inclusive, deliberately diverse, and antiracist organization, as well as initiatives recommended by task forces and leadership program projects on general neurology and how we interface with the public. Our 2021 goals describe how we will accomplish our mission and achieve our vision. Substantial changes were incorporated into the goals from 2020 to reflect new opportunities and challenges, including the need for novel approaches to educate and assist members, commitment to be a fully inclusive and anti-racist organization, more patient and public outreach and engagement, member resiliency, and more focus on the viability and innovation of our neurology practices. These goals envision a preferred

future to which we aspire for the American Academy of Neurology—a future in which we achieve our vision to be indispensable to all our members. The story of 2020 was one of resilient adaptation by our leaders, staff, and member volunteers. Notwithstanding our significant challenges, the Academy in 2020 achieved progress in accomplishing the goals and objectives we set before the pandemic, all while transitioning to a new chief executive officer and chief financial officer. The Academy’s budget development process incorporated our planning and aligned with the ongoing strategic work, with a commitment to balancing the budget for 2021.

As we continue to look forward with foresight, our strategic themes will guide our planning process and budget priorities for 2021. These include our goals and ongoing commitment to our core functions and mission: A COMMITMENT TO INNOVATION

A COMMITMENT TO IMPROVE ACCESS TO NEUROLOGIC CARE

A COMMITMENT TO QUALITY IMPROVEMENT

A COMMITMENT TO VALUE

Creating novel approaches to building our Neurology community and developing education and other programs, products, and services that meet the needs of our diverse members

Working to expand the Neurology pipeline and address health care disparities, and supporting conversations, experience, and resources to bring young minds to neurology

Driving systemic change in health care to support neurologists in all practice settings to provide the best possible patient care and access for all our patients

Demonstrating and asserting the value of neurology to policymakers, patients and the public and other major stakeholders

While 2021 continues in Lingering Disruption, it also ushers in a spirit of optimism and commitment, with hope for a better future as we move to the other side of the COVID-19 pandemic. The Academy in 2021 will continue to tell the story of resilient adaptation in support of the entire community of neurology.

2020 Annual Report | American Academy of Neurology

* Photo was taken prior to the COVID-19 pandemic

2019-2021 AAN BOARD OF DIRECTORS + OFFICERS

2020 Annual Report | American Academy of Neurology

AAN BOARD OF DIRECTORS

AAN INSTITUTE BOARD OF DIRECTORS

OFFICERS President: James C. Stevens, MD, FAAN President Elect: Orly Avitzur, MD, MBA, FAAN Vice President: Ann H. Tilton, MD, FAAN Secretary: Carlayne E. Jackson, MD, FAAN Treasurer: Janis M. Miyasaki, MD, MEd, FRCPC, FAAN Immediate Past President: Ralph L. Sacco, MD, MS, FAHA, FAAN

OFFICERS Chair: James C. Stevens, MD, FAAN Chair Elect: Orly Avitzur, MD, MBA, FAAN Vice Chair: Ann H. Tilton, MD, FAAN Secretary-Treasurer: Charles C. Flippen II, MD, FAAN Immediate Past Chair: Ralph L. Sacco, MD, MS, FAHA, FAAN

DIRECTORS Brenda Banwell, MD, FAAN Sarah M. Benish, MD, FAAN Charlene Gamaldo, MD, FAAN, FAASM James N. Goldenberg, MD, CPI, FAPCR, FAAN Jonathan P. Hosey, MD, FAAN Elaine C. Jones, MD, FAAN Shannon M. Kilgore, MD, FAAN Brett M. Kissela, MD, MS, FAHA, FAAN Thomas R. Vidic, MD, FAAN EX OFFICIO (VOTING) Gregory D. Cascino, MD, FAAN, Chair, Member Engagement Committee Robert A. Gross, MD, PhD, FAAN, Editor-in-Chief, Neurology® (to April 1, 2020) José G. Merino, MD, MPhil, FAHA, FAAN, Editor-in-Chief, Neurology® (since April 1, 2020) Nicholas E. Johnson, MD, FAAN, Chair, Government Relations Committee Brad C. Klein, MD, MBA, FAAN, Chair, Medical Economics and Practice Committee EX OFFICIO (NON-VOTING) Catherine M. Rydell, CAE, Chief Executive Officer (to April 6, 2020) Mary E. Post, MBA, CAE, Chief Executive Officer (since April 6, 2020)

2020 Annual Report | American Academy of Neurology

2019-2021 ACADEMY COMMITTEE CHAIRS Advocacy Committee Nicholas Elwood Johnson, MD, FAAN

Board Planning Committee Carlayne E. Jackson, MD, FAAN

BrainPAC Executive Committee Glen R. Finney, MD, FAAN

Bylaws Committee Janis M. Miyasaki, MD, MEd, FRCPC, FAAN

Education Committee A. Gordon Smith, MD, FAAN

EX OFFICIO (VOTING) Carlayne E. Jackson, MD, FAAN, AAN Secretary Lyell K. Jones, Jr., MD, FAAN, Chair, Quality Committee José G. Merino, MD, MPhil, FAHA, FAAN, Editor in Chief Neurology® Journals Janis M. Miyasaki, MD, MEd, FRCPC, FAAN, AAN Treasurer Natalia S. Rost, MD, MPH, FAAN, FAHA, Chair, Science Committee A. Gordon Smith, MD, FAAN, Chair, Education Committee

Ethics, Law, and Humanities Committee

EX OFFICIO (NON-VOTING) Catherine M. Rydell, CAE, Chief Executive Officer (to April 6, 2020) Mary E. Post, MBA, CAE, Chief Executive Officer (since April 6, 2020)

William P. Cheshire, Jr., MD, FAAN

Leon G. Epstein, MD, FAAN

Executive Committee James C. Stevens, MD, FAAN

Fair Hearing Panel Committee Daniel G. Larriviere, MD, JD, FAAN

Finance Committee Janis M. Miyasaki, MD, MEd, FRCPC, FAAN

Grievance Committee History and Archives Committee Douglas J. Lanska, MD, FAAN

Joint Audit Committee George K. York III, MD, FAAN

Joint Investment Committee Ralph F. Józefowicz, MD, FAAN

Leadership Development Committee Terrence L. Cascino, MD, FAAN

Medical Economics and Practice Committee Brad C. Klein, MD, MBA, FAAN

Meeting Management Committee Carlayne E. Jackson, MD, FAAN

Member Engagement Committee Gregory D. Cascino, MD, FAAN

Nominations Committee Timothy A. Pedley, MD, FAAN

Publications Committee Robert A. Gross, MD, PhD, FAAN

Quality Committee Lyell K. Jones Jr., MD, FAAN

Science Committee Natalia S. Rost, MD, MPH, FAHA, FAAN

American Academy of Neurology 201 Chicago Avenue Minneapolis, MN 55415 AAN.com Member Services (800) 879-1960 (US/Canada) +1 (612) 928-6000 (International) © American Academy of Neurology