2024-10-24T10:12:12-05:00 2023-12-31 463330935 AVENSON HAMANN CPAS LLP 7421 BURNET ROAD 522 AUSTIN TX 78757 990 2023-01-01 200914085 THE PHYSICIANS FOUNDATION INC PHYS 6173990417 401 W 15TH STREET 100 AUSTIN TX 78701 JOHN DORMAN COO 6173990417 2024-10-24 1 1 CATHERINE AVENSON P01259734 5126939131 2023 2024-10-15 13:58:12Z JOHN DORMAN 401 W 15TH STREET 100 AUSTIN TX 78701 27033268 0 X WWW.PHYSICIANSFOUNDATION.ORG X 2003 FL THE FOUNDATION'S PURPOSE IS TO ADVANCE THE WORK OF PRACTICING PHYSICIANS AND TO IMPROVE THE QUALITY OF HEALTH CARE FOR ALL AMERICANS. 21 20 2 0 0 0 0 0 0 0 2693883 5619920 2125 1650 2696008 5621570 2041246 1540000 0 0 750183 760095 0 0 0 3199785 2920493 5991214 5220588 -3295206 400982 110470672 120303766 2436355 1398523 108034317 118905243 X TO SUPPORT, BENEFIT OR CARRY OUT THE CHARITABLE PURPOSES OF PUBLICLY SUPPORTED ORGANIZATIONS WHOSE PURPOSES INCLUDE PROMOTING HIGH QUALITY MEDICAL CARE, INCLUDING, WITHOUT LIMITATION, ASSISTING PHYSICIANS AND THE PUBLIC TO IMPROVE THE QUALITY OF CARE RECEIVED BY PATIENTS IN THE EVOLVING HEALTHCARE ENVIRONMENT, IN A MANNER THAT CONSTITUTES CHARITABLE, SCIENTIFIC, OR EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. 0 0 2228658 300000 PHYSICIAN LEADERSHIP - GRANTS AND PROGRAMS TO EQUIP PHYSICIANS WITH THE CORE MANAGEMENT AND LEADERSHIP SKILLS NEEDED AS THEY INCREASINGLY FACE ADMINISTRATIVE AND REGULATORY BURDENS. 657156 150000 GENERAL HEALTH INITIATIVES - INCLUDE SOCIAL DETERMINANTS, DIRECT PRIMARY CARE EDUCATION, AND THE DEVELOPMENT OF TOOLS AND RESOURCES TO HELP PHYSICIAN PRACTICES IMPLEMENT TELEMEDICINE AND TECHNOLOGY. 1230053 1090000 WELLNESS - GRANTS AND PROGRAMS TO SUPPORT SYSTEMIC CHANGE AND INNOVATIVE RESEARCH THAT REDUCES PHYSICIAN BURNOUT WHICH CAN HAVE DEVASTATING EFFECTS ON PHYSICIANS' QUALITY OF LIFE, AS WELL AS ON COST OF, ACCESS TO, AND QUALITY OF CARE. 4115867 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 29 0 2 1 0 0 0 0 0 0 0 0 0 0 0 0 X 21 20 1 0 1 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X JOHN DORMAN 6173990417 401 W 15TH STREET SUITE 100 AUSTIN TX 78701 GARY PRICE MD CHAIRMAN 20.00 X X 100000 0 0 SUBHI ALI MD TREASURER 5.00 X X 14000 0 0 SANDRA JOHNSON MEMBER 5.00 X 6000 0 0 RUSSELL LIBBY MD MEMBER 5.00 X 0 0 0 RIP HOLLISTER MD MEMBER 5.00 X 12000 0 0 RALPH NOBO MD MEMBER 5.00 X 12000 0 0 PHIL SCHUH MEMBER 5.00 X 3000 0 0 PAUL HARRINGTON MEMBER 5.00 X 12000 0 0 PALMER JONES MEMBER 5.00 X 12000 0 0 JOSEPH VALENTI MD MEMBER 5.00 X 10500 0 0 JENNIFER HANSCOM MEMBER 5.00 40.00 X 12000 356128 23237 DUSTIN CORCORAN MEMBER 5.00 40.00 X 7500 1227159 112049 DON ALEXANDER MEMBER 5.00 X 12000 0 0 ALEX MALTER MD MEMBER 5.00 X 7500 0 0 LARRY DOWNS SECRETARY 5.00 40.00 X X 14000 219042 0 LAWRENCE BRAUD MD VICE PRESIDENT 5.00 X X 14000 0 0 MARCH SEABROOK MEMBER 5.00 5.00 X 12000 0 0 HURSHELL BAGGETT MEMBER 5.00 40.00 X 12000 315000 52907 JERRY VAN METER MEMBER 5.00 X 12000 0 0 JOY MAXEY MEMBER 5.00 X 0 0 0 MICHAEL DARROUZET MEMBER 5.00 40.00 X 0 598400 45810 AMY REYNOLDSON MEMBER 5.00 40.00 X 6000 168950 21488 ARTHUR FOUGNER MD MEMBER 5.00 X 6000 0 0 JOHN DORMAN COO 10.00 40.00 X 109817 464190 82593 ROBERT SELIGSON CEO 40.00 X 311979 0 13021 718296 3348869 351105 2 0 1 0 WEIL MEDICAL COLLEGE OF CORNELL UNIVERSI 575 LEXINGTON AVE 9TH FLOOR NEW YORK NY 10022 ACADEMIC RESEARCH 587492 JPA HEALTH COMMUNICATIONS 111 CONNECTICUT AVE SUITE 600 WASHINGTON DC 20036 COMMUNICATIONS 448016 GMA FOUNDATIONS 2 LIBERTY SQUARE SUITE 500 BOSTON MA 02109 GRANT MANAGEMENT 414161 WEBMD 12186 COLLECTIONS CENTER DR CHICAGO IL 60693 SURVEY 250850 THE HEALTH INITIATIVE 255 FRANKLIN ST SUITE 350 BOSTON MA 02110 IMPACT RESEARCH 190000 8 3126938 3126938 23904680 21411698 2492982 2492982 2492982 OTHER INCOME 900099 1650 1650 1650 5621570 0 0 5621570 X 1540000 1540000 735899 493422 242477 24196 15727 8469 64693 64693 123200 123200 212186 212186 875248 659250 215998 6524 6524 94560 63355 31205 322532 224995 97537 201226 140858 60368 25164 25164 PROFESSIONAL CONSULTING 1381648 1381648 SPONSORSHIPS 72500 72500 33000 23100 9900 MISCELLANEOUS -491988 -498988 7000 5220588 4115867 1104721 0 319333 394872 1585339 3151787 205108 453852 414618 55804124 36010723 52308024 80126658 110470672 120303766 344966 137508 2091389 1261015 2436355 1398523 X 108034317 118905243 108034317 118905243 110470672 120303766 400982 10469944 0 X 0 1 X 1 0 X X X 61 ALASKA STATE MEDICAL ASSOCIATION 926002176 10 1 0 0 CALIFORNIA MEDICAL ASSOCIATION 940359340 10 1 0 0 CONNECTICUT STATE MEDICAL SOCIETY 060665164 10 1 0 0 DENTON COUNTY MEDICAL SOCIETY 751676014 10 1 0 0 EL PASO COUNTY MEDICAL SOCIETY 741238007 10 1 0 0 FLORIDA MEDICAL ASSOCIATION 590559672 10 1 0 0 LOUISIANA STATE MEDICAL SOCIETY 720386637 10 1 0 0 ACCMA COMMUNITY HEALTH FOUNDATION 461703508 7 0 0 0 MEDICAL ASSOCIATION OF GEORGIA 580605267 10 1 0 0 MEDICAL SOCIETY OF NEW YORK 131030760 10 1 0 0 MEDICAL SOCIETY OF NORTHERN VIRGINA 540739279 10 1 0 0 NEBRASKA MEDICAL ASSOCIATION 470372108 10 1 0 0 NEW HAMPSHIRE MEDICAL SOCIETY 020223176 10 1 0 0 NORTH CAROLINA MEDICAL ASSOCIATION 560320130 10 1 0 0 SOUTH CAROLINA MEDICAL ASSOCIATION 570248750 10 1 0 0 TENNESSEE MEDICAL ASSOCIATION 620382010 10 1 0 0 MEDICAL SOCIETY OF NEW JERSEY 210601684 10 1 0 0 AMERICAN ACADEMY OF PEDIATRICS 362275597 10 0 150000 0 BOARD OF TRUSTEES OF THE LELAND STANFORD JR UNIVERSITY 941156365 2 0 0 0 CENTER FOR A HEALTHY MARYLAND 521110642 7 0 0 0 COMMUNITY SERVICE EDUCATION AND RESEARCH FUND 237003581 7 0 0 0 DANIEL HANLEY CENTER FOR HEALTH LEADERSHIP 204271488 7 0 0 0 FOUNDATION OF THE AMERICAN ASSOCIATION OF MEDICAL SOCIETY EXECUTIVES 362915937 10 0 0 0 INDIANA MEDICAL FOUNDATION 237001672 7 0 0 0 TEXAS MEDICAL ASSOCIATION 741078510 10 1 0 0 WASHINGTON STATE MEDICAL ASSOCIATION 910462170 10 1 0 0 MEDICAL SOCIETY OF VIRGINIA FOUNDATION 521394768 7 0 50000 0 MEDICAL EDUCATION AND SCIENTIFIC FOUNDATION OF NY 112780360 7 0 150000 0 MEDICAL ASSOCIATION OF GEORGIA FOUNDATION 586066431 7 0 0 0 PALM BEACH COUNTY MEDICAL SOCIETY SERVICES 651048299 7 0 150000 0 TRAVIS COUNTY MEDICAL SOCIETY FOUNDATION 741720086 7 0 40000 0 OHIO MEDICAL EDUCATION FOUNDATION 310907287 10 0 0 0 PHYSICIANS FOR A HEALTHY CALIFORNIA 946062822 7 0 0 0 FOUNDATION FOR HEALTHY FLORIDIANS 462259497 7 0 0 0 TWIN CITIES MEDICAL SOCIETY FOUNDATION 510178010 10 0 0 0 NORTH CAROLINA MEDICAL SOCIETY FOUNDATION 566088142 7 0 0 0 TEXAS MEDICAL ASSOCIATION SPECIAL FUNDS FOUNDATION 742749879 7 0 0 0 WYOMING MEDICAL SOCIETY SCHOLARSHIP FUND 836004846 7 0 0 0 MONTANA MEDICAL ASSOCIATION FOUNDATION 463696068 10 0 0 0 NEBRASKA MEDICAL FOUNDATION 476036827 7 0 0 0 WSMA FOUNDATION FOR HEALTH CARE IMPROVEMENT 916074463 7 0 0 0 DOCS FOR PATIENT CARE FOUNDATION 464752703 10 0 0 0 MAINE MEDICAL EDUCATION TRUST 010443926 7 0 0 0 BROWN UNIVERSITY OF PROVIDENCE 050258809 2 0 0 0 DR LORNA BREEN HEROES' FOUNDATION 851509081 7 0 750000 0 MASSACHUSETTS MEDICAL SOCIETY AND ALLIANCE CHARITABLE FOUNDATION 223199624 7 0 0 0 MISSISSIPPI STATE MEDICAL ASSOCIATION FOUNDATION 570906060 10 0 0 0 FUTURE ALASKA MEDICAL LEADERS 831874375 7 0 0 0 VERMONT MEDICAL SOCIETY 030164911 10 1 0 0 HAWAII MEDICAL ASSOCIATION 990067306 10 1 0 0 ARIZONA MEDICAL ASSOCIATION FOUNDATION 237036794 10 0 0 0 DUVAL COUNTY MEDICAL SOCIETY FOUNDATION 590880039 7 0 0 0 FOUNDATION OF THE PENNSYLVANIA MEDICAL SOCIIETY 371732501 10 0 0 0 MINNESOTA MEDICAL ASSOCIATION FOUNDATION 416031551 10 0 0 0 PHYSICIANS BENEVOLENT FUND 746050660 7 0 0 0 TENNESSEE FOUNDATION FOR QUALITY PATIENT HEALTHCARE 204232591 10 0 0 0 THE REGENTS OF THE UNIVERSITY OF COLORADO 846000555 10 0 0 0 VERMONT MEDICAL SOCIETY EDU & RESEARCH FOUNDATION 200183445 7 0 0 0 HEALTHY RURAL CA 843230424 10 0 75000 0 MEDICAL SOCIETY OF NORTHERN VIRGINA FOUNDATION 541158386 7 0 75000 0 UNIVERSITY OF HAWAII FOUNDATION 990085260 5 0 100000 0 61 1540000 0 0 1 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 PART IV, SECTION A, LINE 1: SUPPORTED ORGANIZATIONS ARE DESIGNATED IN THE GOVERNING DOCUMENTS BY CLASS OR PURPOSE: "TO SUPPORT, BENEFIT OR CARRY OUT THE CHARITABLE PURPOSES OF PUBLICLY SUPPORTED ORGANIZATIONS WHOSE PURPOSES INCLUDE PROMOTING HIGH QUALITY MEDICAL CARE, INCLUDING, WITHOUT LIMITATION, ASSISTING PHYSICIANS AND THE PUBLIC TO IMPROVE THE QUALITY OF CARE RECEIVED BY PATIENTS IN THE EVOLVING HEALTHCARE ENVIRONMENT, IN A MANNER THAT CONSTITUTES CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE CODE." PART IV, SECTION A, LINE 2: THE FOUNDATION CONFIRMS ANNUALLY THAT EACH OF ITS SUPPORTED ORGANIZATIONS QUALIFY AS PUBLICLY SUPPORTED ORGANIZATIONS. ALL 501(C)(6) SUPPORTED ORGANIZATIONS ARE DEEMED TO BE DESCRIBED IN SECTION 509(A)(2) BECAUSE MEMBERSHIP DUES CONSTITUTED MORE THAN ONE THIRD OF THEIR SUPPORT, AND NO MORE THAN ONE THIRD OF THEIR SUPPORT CAME FROM GROSS INVESTMENT INCOME AND NET UNRELATED BUSINESS TAXABLE INCOME. PART IV, SECTION A, LINE 3B: THE FOUNDATION MAINTAINS A COPY OF THE DETERMINATION LETTER FOR EACH SUPPORTED ORGANIZATION THAT QUALIFIES UNDER SECTION 501(C)(6) ALONG WITH AN ANNUALLY-UPDATED SCHEDULE DEMONSTRATING THE ORGANIZATION'S COMPLIANCE WITH THE SECTION 509(A)(2) PUBLIC SUPPORT TEST. PART IV, SECTION A, LINE 3C: TO ENSURE THAT ITS ASSETS ARE USED FOR CHARITABLE PURPOSES, THE FOUNDATION MAKES GRANTS ONLY TO 501(C)(3) ORGANIZATIONS OR 501(C)(6) ORGANIZATIONS THAT ARE DEEMED TO BE DESCRIBED IN SECTION 509(A)(2). FUNDED PROJECTS ARE APPROVED AFTER A RIGOROUS APPLICATION PROCESS. GRANTS ARE MADE SUBJECT TO A WRITTEN AGREEMENT REQUIRING PERIODIC AND FINAL FINANCIAL AND NARRATIVE REPORTS AND PROVIDING THAT THE FOUNDATION MAY WITHHOLD FUTURE PAYMENTS AND DEMAND CORRECTION OF MISUSE OF FUNDS SHOULD THE FOUNDATION DETERMINE FUNDS HAVE NOT BEEN USED FOR APPROVED PURPOSES. PART IV, SECTION A, LINE 5A: AS DESCRIBED IN PART IV, NUMBER 3C, THE FOUNDATION MAKES GRANTS TO 501(C)(3) ORGANIZATIONS AND 501(C)(6) ORGANIZATIONS THAT ARE DEEMED TO BE DESCRIBED IN SECTION 509(A)(2) THAT ARE INCLUDED IN THE CLASS OF ORGANIZATIONS DESIGNATED IN THE GOVERNING DOCUMENTS BY CLASS OR PURPOSE. IN 2023 THE FOUNDATION MADE NEW GRANTS TO 3 ORGANIZATIONS THAT WERE NOT LISTED ON THE 2022 FORM 990: HEALTHY RURAL CA, MEDICAL SOCIETY OF NORTHERN VIRGINIA FOUNDATION, AND UNIVERSITY OF HAWAII FOUNDATION. SOME OF THE SUPPORTED ORGANIZATIONS DID NOT RECEIVE SUPPORT DURING 2023, BUT THEY ARE ALL LISTED ON SCHEDULE A, PART VI OF THE 2023 FORM 990. TEN ORGANIZATIONS THAT WERE LISTED AS SUPPORTED ORGANIZATIONS ON THE 2022 FORM 990, SCHEDULE A ARE NO LONGER SUPPORTED ORGANIZATIONS AND WERE REMOVED FROM THE 2023 LIST. PART IV, SECTION B, LINE 2: IN ADDITION TO MAKING GRANTS TO 501(C)(3) ORGANIZATIONS OPERATED, SUPERVISED OR CONTROLLED BY SUPPORTED ORGANIZATIONS NAMED IN THE ORGANIZING DOCUMENTS, THE FOUNDATION ALSO GIVES GRANTS TO 501(C)(6) ORGANIZATIONS TO CARRY OUT THE FOUNDATION'S CHARITABLE PURPOSES. SEE REV. RUL. 76-401, 1976-C.B. 175, WHICH PROVIDES THAT THE GENERAL REQUIREMENTS OF SECTIONS 1.509(A)-4(C), (D) AND (E) OF THE REGULATIONS ARE INAPPLICABLE TO SUPPORTED SECTION 501(C)(6) ORGANIZATIONS FOR PURPOSES OF SATISFYING BOTH THE ORGANIZATIONAL AND OPERATIONAL TESTS OF SECTION 509(A)(3)(A) OF THE INTERNAL REVENUE CODE. THE FOUNDATION MAKES GRANTS TO PUBLICLY SUPPORTED ORGANIZATIONS THAT DO NOT CONTROL THE FOUNDATION, BUT BY BENEFITTING THEM, THE FOUNDATION CARRIES OUT THE PURPOSE OF THE CONTROLLING SIGNATORY ENTITIES, AS PERMITTED UNDER SECTION 1.509(A)-4(G)(1)(II) OF THE REGULATIONS. 0 ISHARES CORE S&P SMALL CAP E 11350554 F ISHARES CORE S&P 500 ETF 16777709 F ISHARES S&P MIDCAP 400 INDEX 10113203 F ISHARES TR RUS 1000 GRW ETF 6039146 F ISHARES TRUST ISHARES ESG AW 6567825 F METROPOLITAN WST INTM BD I 10182167 F PIMCO INCOME INST 10307289 F VANGUARD TOTAL BD MKT IDX INST 8788765 F 80126658 X 15879328 10469944 10469944 5409384 212186 212186 5621570 5008402 0 5008402 212186 212186 5220588 PART X, LINE 2: THE FOUNDATION ACCOUNTS FOR UNCERTAINTY OF INCOME TAXES BASED ON A "MORE-LIKELY-THAN-NOT" THRESHOLD FOR THE RECOGNITION AND DE-RECOGNITION OF TAX POSITIONS, WHICH INCLUDES THE ACCOUNTING FOR INTEREST AND PENALTIES. AT DECEMBER 31, 2023 AND 2022, THE FOUNDATION DOES NOT HAVE ANY UNRECOGNIZED TAX BENEFITS RESULTING FROM ITS TAX POSITIONS. 1 PALM BEACH COUNTY MEDICAL SOCIETY SERVICES 3540 FOREST HILL BLVD 101 WEST PALM BEACH FL 33406 651048299 501(C)(3) 150000 0 TO ENHANCE THE PHYSICIAN LEADERSHIP ACADEMY COLLABORATION BETWEEN THREE COUNTY MEDICAL SOCIETIES MEDICAL EDUCATION AND SCIENTIFIC FOUNDATION OF NY 865 MERRICK AVE WESTBURY NY 11590 112780360 501(C)(3) 150000 0 TO SUPPORT A LEADERSHIP PROGRAM TARGETING WOMEN PHYSICIANS; TO ADDRESS BURNOUT AMONG THE STATE'S PHYSICIANS BY PROVIDING TRAINING AND SUPPORT FOR IMPLEMENTING PRACTICE-LEVEL CHANGES MEDICAL SOCIETY OF VIRGINIA FOUNDATION 2924 EMERYWOOD PKWY SUITE 300 RICHMOND VA 23294 521394768 501(C)(3) 50000 0 SAFE HAVEN IMPLEMENTATION TOOLKIT AMERICAN ACADEMY OF PEDIATRICS 141 NORTHWEST POINT BLVD ELK GROVE IL 60007 362275597 501(C)(3) 150000 0 WOMEN'S WELLBEING FOR EARLY TO MID-CAREER WOMEN PHYSICIANS DR LORNA BREEN HEROES' FOUNDATION 1867 WINSTON RD CHARLOTTESVILLE VA 22903 851509081 501(C)(3) 750000 0 TO PROMOTE A WELLNESS PROGRAM TRAVIS COUNTY MEDICAL SOCIETY FOUNDATION 4300 N LAMAR BLVD AUSTIN TX 78756 741720086 501(C)(3) 40000 0 ASSIST MEDICAL SOCIETIES AS THEY IMPLEMENT LIFEBRIDGE PHYSICIAN WELLNESS PROGRAM HEALTHY RURAL CA 1905 NOTRE DAME BLVD SUITE 200 CHICO CA 95963 843230424 501(C)(3) 75000 0 TO SUPPORT IMPLEMENTATION OF DRIVERS OF HEALTH SCREENING AND TOOLS IN PHYSICIAN PRACTICES MEDICAL SOCIETY OF NORTHERN VIRGINIA FOUNDATION 7927 JONE BRANCH DR NO 3150 MCLEAN VA 22102 541158386 501(C)(3) 75000 0 SCREENING FOR SOCIAL DETERMINANTS OF HEALTH UNIVERSITY OF HAWAII FOUNDATION 1314 SOUTH KING STREET SUITE B HONOLULU HI 96814 990085260 501(C)(3) 100000 0 ADVANCING RURAL BEHAVIORAL INTEGRATION VIA TELEHEALTH 9 PART I, LINE 2: TO ENSURE THAT ITS ASSETS ARE USED FOR CHARITABLE PURPOSES, THE FOUNDATION MAKES GRANTS ONLY TO 501(C)(3) ORGANIZATIONS AND 501(C)(6) ORGANIZATIONS THAT ARE DEEMED TO BE DESCRIBED IN SECTION 509(A)(2). FUNDED PROJECTS ARE APPROVED ONLY AFTER A RIGOROUS APPLICATION PROCESS. THE GRANT COMMITTEE MEETS QUARTERLY TO DISCUSS RECOMMENDED PHYSICIAN LEADERSHIP PROPOSALS AND APPROVAL OF GRANTS THAT RELATE TO THE FOUNDATION'S MISSION. FINAL RECOMMENDATIONS ARE APPROVED BY THE FULL BOARD. GRANTS ARE MADE SUBJECT TO A WRITTEN AGREEMENT REQUIRING PERIODIC AND FINAL FINANCIAL AND NARRATIVE REPORTS AND PROVIDING THAT THE FOUNDATION MAY WITHHOLD FUTURE PAYMENTS AND DEMAND CORRECTION OF MISUSE OF FUNDS SHOULD THE FOUNDATION DETERMINE THAT FUNDS HAVE NOT BEEN USED FOR APPROVED PURPOSES. X X 0 0 0 0 0 0 0 0 0 DUSTIN CORCORAN MEMBER 7500 854437 0 350000 0 22722 0 52200 0 59849 7500 1339208 0 0 JOHN DORMAN COO 109817 415250 0 0 0 48940 0 65200 4583 12810 114400 542200 0 0 MICHAEL DARROUZET MEMBER 0 567000 0 0 0 31400 0 33000 0 12810 0 644210 0 0 JENNIFER HANSCOM MEMBER 12000 336166 0 12962 0 7000 0 9900 0 13337 12000 379365 0 0 HURSHELL BAGGETT MEMBER 12000 315000 0 0 0 0 0 16667 0 36240 12000 367907 0 0 ROBERT SELIGSON CEO 311979 0 0 0 0 0 0 0 13021 0 325000 0 0 0 LARRY DOWNS SECRETARY 14000 210196 0 0 0 8846 0 0 0 0 14000 219042 0 0 AMY REYNOLDSON MEMBER 6000 147200 0 12000 0 9750 0 14720 0 6768 6000 190438 0 0 FORM 990, PART VI, SECTION A, LINE 2 JOHN DORMAN, COO, AND BOARD MEMBER MICHAEL DARROUZET ARE BOTH ORGANIZATIONAL OFFICERS AT TEXAS MEDICAL ASSOCIATION. FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS WERE AMENDED TO LIMIT BOARD MEMBER TERMS TO 3 THREE-YEAR TERMS. FORM 990, PART VI, SECTION A, LINE 7A THE MEDICAL ASSOCIATIONS AND SOCIETIES NAMED IN THE FOUNDATION'S BYLAWS HAVE THE POWER TO APPOINT MEMBERS OF THE BOARD OF DIRECTORS AND MAY REMOVE THEIR RESPECTIVE APPOINTEES. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE FORM 990 IS REVIEWED BY THE COO AND DISTRIBUTED TO EACH BOARD MEMBER PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST NO LESS FREQUENTLY THAN ANNUALLY. THE BOARD OF DIRECTORS REVIEWS THE DISCLOSURES AND ENSURES ALL TRANSACTIONS ARE FAIR TO THE FOUNDATION. IF THE POLICY IS VIOLATED, THE BOARD OF DIRECTORS MAY VOID THE CONTRACT OR TRANSACTION AND RECOVER DAMAGES OR MODIFY THE PRICE AND TERMS TO MATCH WHAT THE FOUNDATION WOULD RECEIVE IN AN ARM'S-LENGTH NEGOTIATION. FORM 990, PART VI, SECTION B, LINE 15A IN 2015, THE BOARD OF DIRECTORS CONTRACTED WITH AN INDEPENDENT COMPENSATION CONSULTANT TO ENSURE THAT AMOUNTS PAID TO DIRECTORS, CEO, AND COO ARE NOT EXCESSIVE. FORM 990, PART VI, SECTION C, LINE 19 ALL REQUIRED DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART IX, LINE 11G GRANT MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 256,780. MANAGEMENT AND GENERAL EXPENSES 157,381. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 414,161. COMMUNICATIONS: PROGRAM SERVICE EXPENSES 389,774. MANAGEMENT AND GENERAL EXPENSES 58,242. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 448,016. PROGRAM SPEAKERS: PROGRAM SERVICE EXPENSES 696. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 696. FELLOWS PROGRAM: PROGRAM SERVICE EXPENSES 12,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,000. BOARD ADVISOR STIPEND: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 375. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 375. ALASKA STATE MEDICAL ASSOCIATION 4107 LAUREL ST ANCHORAGE AK 99508 926002176 PROFESSIONAL SOCIETY REPRESENTING PHYSICIANS AK 501(C)(6) 0 CALIFORNIA MEDICAL ASSOCIATION 1201 J STREET SUITE 200 SACREMENTO CA 95814 940359340 PROFESSIONAL SOCIETY REPRESENTING PHYSICIANS CA 501(C)(6) 0 CONNECTICUT STATE MEDICAL SOCIETY 127 WASHINGTON AVE EAST 3RD FLOOR NORTH HAVEN CT 06473 060665164 PROFESSIONAL SOCIETY REPRESENTING PHYSICIANS CT 501(C)(6) 0 DENTON COUNTY MEDICAL SOCIETY 3537 S INTERSTATE 35 ESTE 302 DENTON TX 76210 751676014 PROFESSIONAL SOCIETY REPRESENTING PHYSICIANS TX 501(C)(6) 0 EL PASO COUNTY MEDICAL SOCIETY 730 CITADEL DR EAST SUITE 206 COLORADO SPRINGS CO 80909 741238007 PROFESSIONAL SOCIETY REPRESENTING PHYSICIANS CO 501(C)(6) 0 FLORIDA MEDICAL ASSOCIATION 1430 PIEDMONT DR E TALLAHASSEE FL 32308 590559672 PROFESSIONAL SOCIETY REPRESENTING PHYSICIANS FL 501(C)(6) 0 HAWAII MEDICAL ASSOCIATION 1360 S BERETANIA ST 200 HONOLULU HI 96814 990067306 PROFESSIONAL SOCIETY REPRESENTING PHYSICIANS HI 501(C)(6) 0 LOUISIANA STATE MEDICAL SOCIETY 6767 PERKINS ROAD SUITE 100 BATON ROUGE LA 70808 720386637 PROFESSIONAL SOCIETY REPRESENTING PHYSICIANS LA 501(C)(6) 0 MEDICAL ASSOCIATION OF GEORGIA 1849 THE EXCHANGE SUITE 200 ATLANTA GA 30339 580605267 PROFESSIONAL SOCIETY REPRESENTING PHYSICIANS GA 501(C)(6) 0 MEDICAL SOCIETY OF NEW JERSEY TWO PRINCESS ROAD LAWRENCEVILLE NJ 08648 210601684 PROFESSIONAL SOCIETY REPRESENTING PHYSICIANS NJ 501(C)(6) 0 MEDICAL SOCIETY OF NEW YORK 865 MERRICK AVE SUITE 200 WESTBURY NY 11590 131030760 PROFESSIONAL SOCIETY REPRESENTING PHYSICIANS NY 501(C)(6) 0 MEDICAL SOCIETY OF NORTHERN VIRGINA 4604 JONES BRANCH DR SUITE 3150 MCLEAN VA 22102 540739279 PROFESSIONAL SOCIETY REPRESENTING PHYSICIANS VA 501(C)(6) 0 NEBRASKA MEDICAL ASSOCIATION 233 S 13TH STREET SUITE 1200 LINCOLN NE 68508 470372108 PROFESSIONAL SOCIETY REPRESENTING PHYSICIANS NE 501(C)(6) 0 NEW HAMPSHIRE MEDICAL SOCIETY 7 NORTH STATE DTREET CONCORD NH 03301 020223176 PROFESSIONAL SOCIETY REPRESENTING PHYSICIANS NH 501(C)(6) 0 NORTH CAROLINA MEDICAL ASSOCIATION PO BOX 27167 RALEIGH NC 27611 560320130 PROFESSIONAL SOCIETY REPRESENTING PHYSICIANS NC 501(C)(6) 0 SOUTH CAROLINA MEDICAL ASSOCIATION 132 WESTPARK BLVD COLUMBIA SC 29210 570248750 PROFESSIONAL SOCIETY REPRESENTING PHYSICIANS SC 501(C)(6) 0 TENNESSEE MEDICAL ASSOCIATION 701 BRADFORD AVENUE NASHVILLE TN 37204 620382010 PROFESSIONAL SOCIETY REPRESENTING PHYSICIANS TN 501(C)(6) 0 TEXAS MEDICAL ASSOCIATION 401 WEST 15TH STREET SUITE 100 AUSTIN TX 78701 741078510 PROFESSIONAL SOCIETY REPRESENTING PHYSICIANS TX 501(C)(6) 0 VERMONT MEDICAL SOCIETY PO BOX 1457 MONTPELIER VT 05601 030164911 PROFESSIONAL SOCIETY REPRESENTING PHYSICIANS VT 501(C)(6) 0 WASHINGTON STATE MEDICAL ASSOCIATION 2001 SIXTH AVE SUITE 2700 SEATTLE WA 98121 910462170 PROFESSIONAL SOCIETY REPRESENTING PHYSICIANS WA 501(C)(6) 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 MEDICAL SOCIETY OF NEW JERSEY P 12528 FMV TEXAS MEDICAL ASSOCIATION P 20428 FMV TEXAS MEDICAL ASSOCIATION M 100000 CONTRACTED AMOUNT WASHINGTON STATE MEDICAL ASSOCIATION P 9937 FMV MEDICAL SOCIETY OF NORTHERN VIRGINIA R 12000 FMV TEXAS MEDICAL ASSOCIATION R 9000 FMV