FURP.ORG / PUBLIC DATA EXPLORER

THE PHYSICIANS FOUNDATION INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
THE PHYSICIANS FOUNDATION INC (EIN 20-0914085)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-10-20
IRS object ID
202312939349301826
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-10-20T18:17:55-05:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN463330935PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1AVENSON HAMANN CPAS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line17421 BURNET ROAD 522AddressLine1Txt
CityAUSTINCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78757ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN200914085EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE PHYSICIANS FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPHYSBusinessNameControlTxt
Phone6173990417PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 W 15TH STREET 100AddressLine1Txt
CityAUSTINCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78701ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN DORMANPersonNm
Person TitleCOOPersonTitleTxt
Phone6173990417PhoneNum
Signature2023-10-20SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJOHNPersonFirstNm
Person LastDORMANPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCATHERINE AVENSONPreparerPersonNm
PTINP01259734PTIN
Phone5126939131PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOHN DORMANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 W 15TH STREET 100AddressLine1Txt
CityAUSTINCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78701ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$11,575,063GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PHYSICIANSFOUNDATION.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2003FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTHE FOUNDATION'S PURPOSE IS TO ADVANCE THE WORK OF PRACTICING PHYSICIANS AND TO IMPROVE THE QUALITY OF HEALTH CARE FOR ALL AMERICANS.ActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent20VotingMembersIndependentCnt
Total Employee2TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$10,000PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$7,615,645PYInvestmentIncomeAmt
CY Investment Income$2,693,883CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$2,125CYOtherRevenueAmt
PY Total Revenue$7,625,645PYTotalRevenueAmt
CY Total Revenue$2,696,008CYTotalRevenueAmt
PY Grants And Similar Paid$2,155,816PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,041,246CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$704,126PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$750,183CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,986,723PYOtherExpensesAmt
CY Other Expenses$3,199,785CYOtherExpensesAmt
PY Total Expenses$5,846,665PYTotalExpensesAmt
CY Total Expenses$5,991,214CYTotalExpensesAmt
PY Revenues Less Expenses$1,778,980PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$3,295,206CYRevenuesLessExpensesAmt
Total Assets BOY$135,038,479TotalAssetsBOYAmt
Total Assets EOY$110,470,672TotalAssetsEOYAmt
Total Liabilities BOY$2,185,768TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,436,355TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$132,852,711NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$108,034,317NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,666,399ExpenseAmt
Grant$675,000GrantAmt
DescPHYSICIAN LEADERSHIP - GRANTS AND PROGRAMS TO EQUIP PHYSICIANS WITH THE CORE MANAGEMENT AND LEADERSHIP SKILLS NEEDED AS THEY INCREASINGLY FACE ADMINISTRATIVE AND REGULATORY BURDENS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$824,340ExpenseAmt
Grant$374,985GrantAmt
DescGENERAL HEALTH INITIATIVES - INCLUDE SOCIAL DETERMINANTS, DIRECT PRIMARY CARE EDUCATION, AND THE DEVELOPMENT OF TOOLS AND RESOURCES TO HELP PHYSICIAN PRACTICES IMPLEMENT TELEMEDICINE AND TECHNOLOGY.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,421,145ExpenseAmt
Grant$991,261GrantAmt
DescWELLNESS - 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.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$4,911,884TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document29IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee2EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members21GoverningBodyVotingMembersCnt
Independent Voting Member20IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJOHN DORMANPersonNm
Phone6173990417PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 W 15TH STREET SUITE 100AddressLine1Txt
CityAUSTINCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78701ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
GARY PRICE MD
CHAIRMAN20.00Yes (X)Yes (X)$100,000$0$0
SUBHI ALI MD
TREASURER5.00Yes (X)Yes (X)$14,000$0$0
SANDRA JOHNSON
MEMBER5.00Yes (X)$12,000$0$0
RUSSELL LIBBY MD
MEMBER5.00Yes (X)$0$0$0
RIP HOLLISTER MD
MEMBER5.00Yes (X)$12,000$0$0
RALPH NOBO MD
MEMBER5.00Yes (X)$12,000$0$0
PHIL SCHUH
MEMBER5.00Yes (X)$9,000$0$040.00
PAUL HARRINGTON
MEMBER5.00Yes (X)$12,000$0$0
PALMER JONES
MEMBER5.00Yes (X)$12,000$0$0
JOSEPH VALENTI MD
MEMBER5.00Yes (X)$12,000$0$0
JENNIFER HANSCOM
MEMBER5.00Yes (X)$12,000$347,587$21,60140.00
DUSTIN CORCORAN
MEMBER5.00Yes (X)$12,000$1,062,000$109,63040.00
DON ALEXANDER
MEMBER5.00Yes (X)$12,000$0$0
ALEX MALTER MD
MEMBER5.00Yes (X)$12,000$0$0
LARRY DOWNS
SECRETARY5.00Yes (X)Yes (X)$14,000$249,804$040.00
LAWRENCE BRAUD MD
VICE PRESIDENT5.00Yes (X)Yes (X)$14,000$0$0
MARCH SEABROOK
MEMBER5.00Yes (X)$12,000$0$05.00
HURSHELL BAGGETT
MEMBER5.00Yes (X)$9,000$300,841$50,56740.00
JERRY VAN METER
MEMBER5.00Yes (X)$12,000$0$0
JOY MAXEY
MEMBER5.00Yes (X)$0$0$0
MICHAEL DARROUZET
MEMBER5.00Yes (X)$0$629,216$42,54740.00
JOHN DORMAN
COO5.00Yes (X)$110,000$471,874$73,06740.00
ROBERT SELIGSON
CEO40.00Yes (X)$312,500$0$015.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org$726,500TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,061,322TotReportableCompRltdOrgAmt
Total Other Compensation$297,412TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
WEIL MEDICAL COLLEGE OF CORNELL UNIVERSI
575 LEXINGTON AVE 9TH FLOORNEW YORKNY10022ACADEMIC RESEARCH$450,000
JPA HEALTH COMMUNICATIONS
111 CONNECTICUT AVE SUITE 600WASHINGTONDC20036COMMUNICATIONS$405,526
GMA FOUNDATIONS
2 LIBERTY SQUARE SUITE 500BOSTONMA02109GRANT MANAGEMENT$381,069
PROJECT HOPE - HEALTH AFFAIRS
7500 OLD GEORGETOWN RD STE 600CHICAGOIL60693PRACTICE OF MEDICINE SERIES$220,000
THE HEALTH INITIATIVE
255 FRANKLIN ST SUITE 350BOSTONMA02110IMPACT RESEARCH$203,542
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,286,885TotalRevenueColumnAmt
Exclusion$2,286,885ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$9,286,053SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$8,879,055SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$406,998SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$406,998TotalRevenueColumnAmt
Exclusion$406,998ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business900099BusinessCd
Total Revenue Column$2,125TotalRevenueColumnAmt
Exclusion$2,125ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,125OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,696,008TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,696,008ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,041,246TotalAmt
Program Services$2,041,246ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$726,500TotalAmt
Program Services$472,225ProgramServicesAmt
Management And General$254,275ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$23,683TotalAmt
Program Services$15,394ProgramServicesAmt
Management And General$8,289ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$67,874TotalAmt
Management And General$67,874ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$112,500TotalAmt
Management And General$112,500ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$224,506TotalAmt
Management And General$224,506ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$791,073TotalAmt
Program Services$569,590ProgramServicesAmt
Management And General$221,483ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,622TotalAmt
Management And General$2,622ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$88,985TotalAmt
Program Services$60,510ProgramServicesAmt
Management And General$28,475ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$314,034TotalAmt
Program Services$235,024ProgramServicesAmt
Management And General$79,010ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$175,797TotalAmt
Program Services$123,058ProgramServicesAmt
Management And General$52,739ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$22,716TotalAmt
Management And General$22,716ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROFESSIONAL CONSULTING$1,464,364$1,464,364
SPONSORSHIPS$55,000$55,000
MISCELLANEOUS-$119,686-$124,527$4,841

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,991,214TotalAmt
Program Services$4,911,884ProgramServicesAmt
Management And General$1,079,330ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$924,870BOYAmt
EOY$319,333EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,414,894BOYAmt
EOY$1,585,339EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$10,906BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$436,201BOYAmt
EOY$453,852EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$69,223,769BOYAmt
EOY$55,804,124EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$60,027,839BOYAmt
EOY$52,308,024EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$135,038,479BOYAmt
EOY$110,470,672EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$18,666BOYAmt
EOY$344,966EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$2,167,102BOYAmt
EOY$2,091,389EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,185,768BOYAmt
EOY$2,436,355EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$132,852,711BOYAmt
EOY$108,034,317EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$132,852,711BOYAmt
EOY$108,034,317EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$135,038,479BOYAmt
EOY$110,470,672EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$3,295,206ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$21,523,188NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Supported Organizations68SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (68 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
ALASKA STATE MEDICAL ASSOCIATION
92600217610Yes (1)$0$0
CALIFORNIA MEDICAL ASSOCIATION
94035934010Yes (1)$0$0
CONNECTICUT STATE MEDICAL SOCIETY
06066516410Yes (1)$0$0
DENTON COUNTY MEDICAL SOCIETY
75167601410Yes (1)$0$0
EL PASO COUNTY MEDICAL SOCIETY
74123800710Yes (1)$0$0
FLORIDA MEDICAL ASSOCIATION
59055967210Yes (1)$0$0
LOUISIANA STATE MEDICAL SOCIETY
72038663710Yes (1)$0$0
ACCMA COMMUNITY HEALTH FOUNDATION
46170350870$0$0
MEDICAL ASSOCIATION OF GEORGIA
58060526710Yes (1)$0$0
MEDICAL SOCIETY OF NEW YORK
13103076010Yes (1)$0$0
MEDICAL SOCIETY OF NORTHERN VIRGINA
54073927910Yes (1)$0$0
NEBRASKA MEDICAL ASSOCIATION
47037210810Yes (1)$0$0
NEW HAMPSHIRE MEDICAL SOCIETY
02022317610Yes (1)$0$0
NORTH CAROLINA MEDICAL ASSOCIATION
56032013010Yes (1)$0$0
SOUTH CAROLINA MEDICAL ASSOCIATION
57024875010Yes (1)$0$0
TENNESSEE MEDICAL ASSOCIATION
62038201010Yes (1)$0$0
MEDICAL SOCIETY OF NEW JERSEY
21060168410Yes (1)$0$0
AMERICAN ACADEMY OF PEDIATRICS
362275597100$0$0
BOARD OF TRUSTEES OF THE LELAND STANFORD JR UNIVERSITY
94115636520$0$0
CENTER FOR A HEALTHY MARYLAND
52111064270$75,000$0
COMMUNITY SERVICE EDUCATION AND RESEARCH FUND
23700358170$0$0
CONNECTICUT STATE MEDICAL SOCIETY PHYSICIAN HEALTH & EDUCATION FUND
06142520570$0$0
DANIEL HANLEY CENTER FOR HEALTH LEADERSHIP
20427148870$0$0
FOUNDATION OF THE AMERICAN ASSOCIATION OF MEDICAL SOCIETY EXECUTIVES
362915937100$0$0
INDIANA MEDICAL FOUNDATION
23700167270$75,000$0
TEXAS MEDICAL ASSOCIATION
74107851010Yes (1)$0$0
WASHINGTON STATE MEDICAL ASSOCIATION
91046217010Yes (1)$0$0
MEDICAL SOCIETY OF VIRGINIA FOUNDATION
52139476870$125,000$0
MEDICAL EDUCATION AND SCIENTIFIC FOUNDATION OF NY
11278036070$0$0
MEDICAL ASSOCIATION OF GEORGIA FOUNDATION
58606643170$0$0
ASSOCIATION OF WOMEN SURGEONS FOUNDATION
364029232100$0$0
PALM BEACH COUNTY MEDICAL SOCIETY SERVICES
65104829970$0$0
TRAVIS COUNTY MEDICAL SOCIETY FOUNDATION
74172008670$125,000$0
OHIO MEDICAL EDUCATION FOUNDATION
310907287100$0$0
SOUTH CAROLINA MEDICAL ASSOCIATION FOUNDATION
570168534100$0$0
PHYSICIANS FOR A HEALTHY CALIFORNIA
94606282270$0$0
FOUNDATION FOR HEALTHY FLORIDIANS
46225949770$0$0
TWIN CITIES MEDICAL SOCIETY FOUNDATION
510178010100$0$0
AMERICAN MEDICAL ASSOCIATION
360727175100$0$0
NORTH CAROLINA MEDICAL SOCIETY FOUNDATION
56608814270$0$0
INSTITUTE OF MEDICINE AND PUBLIC OF NEW JERSEY
20067801270$0$0
TEXAS MEDICAL ASSOCIATION SPECIAL FUNDS FOUNDATION
74274987970$0$0
WYOMING MEDICAL SOCIETY SCHOLARSHIP FUND
83600484670$0$0
MONTANA MEDICAL ASSOCIATION FOUNDATION
463696068100$150,000$0
NEBRASKA MEDICAL FOUNDATION
47603682770$0$0
WSMA FOUNDATION FOR HEALTH CARE IMPROVEMENT
91607446370$150,000$0
DOCS FOR PATIENT CARE FOUNDATION
464752703100$0$0
PAGNY HEALTH AND RESEARCH FOUNDATION INC
81131852270$0$0
MAINE MEDICAL EDUCATION TRUST
01044392670$75,000$0
BROWN UNIVERSITY OF PROVIDENCE
05025880920$25,000$0
ACADEMY OF MEDICINE EDUCATION FOUNDATION
32000620170$0$0
DR LORNA BREEN HEROES' FOUNDATION
85150908170$0$0
IOWA MEDICAL SOCIETY FOUNDATION
42607862670$0$0
MASSACHUSETTS MEDICAL SOCIETY AND ALLIANCE CHARITABLE FOUNDATION
22319962470$75,000$0
MISSISSIPPI STATE MEDICAL ASSOCIATION FOUNDATION
570906060100$0$0
THE RESEARCH INSTITUTE AT NATIONWIDE CHILDREN'S HOSPITAL
31605623070$0$0
FUTURE ALASKA MEDICAL LEADERS
83187437570$150,000$0
LOUISIANA STATE MEDICAL SOCIETY EDUCATION AND RESEARCH FOUNDATION
237029259100$0$0
VERMONT MEDICAL SOCIETY
03016491110Yes (1)$0$0
HAWAII MEDICAL ASSOCIATION
99006730610Yes (1)$0$0
ARIZONA MEDICAL ASSOCIATION FOUNDATION
237036794100$75,000$0
DUVAL COUNTY MEDICAL SOCIETY FOUNDATION
59088003970$150,000$0
FOUNDATION OF THE PENNSYLVANIA MEDICAL SOCIIETY
371732501100$74,985$0
MINNESOTA MEDICAL ASSOCIATION FOUNDATION
416031551100$117,175$0
PHYSICIANS BENEVOLENT FUND
74605066070$150,000$0
TENNESSEE FOUNDATION FOR QUALITY PATIENT HEALTHCARE
204232591100$150,000$0
THE REGENTS OF THE UNIVERSITY OF COLORADO
846000555100$149,086$0
VERMONT MEDICAL SOCIETY EDU & RESEARCH FOUNDATION
20018344570$150,000$0
FieldValueIRS element (for citing)
Supported Organizations Total68SupportedOrganizationsTotalCnt
Support Sum$2,041,246SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing Doc0ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationYes (1)SuprtOrgNoIRSDeterminationInd
Supported Org Section C456Yes (1)SupportedOrgSectionC456Ind
Supported Org QualifiedYes (1)SupportedOrgQualifiedInd
Suprt Exclusively Sec170c2 BYes (1)SuprtExclusivelySec170c2BInd
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgYes (1)OrganizationChangeSuprtOrgInd
Supported Org Class DesignatedYes (1)SupportedOrgClassDesignatedInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt OrgYes (1)OperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 2022 THE FOUNDATION MADE NEW GRANTS TO 8 ORGANIZATIONS THAT WERE NOT LISTED ON THE 2021 FORM 990: ARIZONA MEDICAL ASSOCIATION FOUNDATION, DUVAL COUNTY MEDICAL SOCIETY FOUNDATION, FOUNDATION OF THE PENNSYLVANIA MEDICAL SOCIETY, MINNESOTA MEDICAL ASSOCIATION FOUNDATION, PHYSICIANS BENEVOLENT FUND, TENNESSEE FOUNDATION FOR QUALITY PATIENT HEALTHCARE, THE REGENTS OF THE UNVIVERSITY OF COLORADO, AND VERMONT MEDICAL SOCIETY EDUCATION AND RESEARCH FOUNDATION. SOME OF THE SUPPORTED ORGANIZATIONS DID NOT RECEIVE SUPPORT DURING 2022, BUT THEY ARE ALL LISTED ON SCHEDULE A, PART VI OF THE 2022 FORM 990. 4 ORGANIZATIONS THAT WERE LISTED AS SUPPORTED ORGANIZATIONS ON THE 2021 FORM 990, SCHEDULE A ARE NO LONGER SUPPORTED ORGANIZATIONS AND WERE REMOVED FROM THE 2022 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.

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (6 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
ISHARES CORE S&P SMALL CAP E$9,781,328F
ISHARES CORE S&P 500 ETF$16,848,377F
ISHARES S&P MIDCAP 400 INDEX$8,689,414F
ISHARES TR RUS 1000 GRW ETF$5,647,366F
ISHARES RUSSELL 1000 VALUE ETF$5,799,854F
ISHARES TRUST ISHARES ESG AW$5,541,685F
FieldValueIRS element (for citing)
Total Book Value Securities$52,308,024TotalBookValueSecuritiesAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt-$19,051,686TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$21,523,188NetUnrealizedGainsInvstAmt
Revenue Not Reported-$21,523,188RevenueNotReportedAmt
Revenue Subtotal$2,471,502RevenueSubtotalAmt
Investment Expenses Not Incld$224,506InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$224,506RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,696,008TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$5,766,708TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$5,766,708ExpensesSubtotalAmt
Investment Expenses Not Incld2$224,506InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$224,506ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$5,991,214TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE 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, 2022 AND 2021, THE FOUNDATION DOES NOT HAVE ANY UNRECOGNIZED TAX BENEFITS RESULTING FROM ITS TAX POSITIONS.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (18 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
MEDICAL SOCIETY OF VIRGINIA FOUNDATION
2924 EMERYWOOD PKWY SUITE 300RICHMONDVA23294521394768501(C)(3)$125,000$0TO EXPAND AND ENHANCE THE PHYSICIAN LEADERSHIP INSTITUTE
MAINE MEDICAL EDUCATION TRUST
PO BOX 190MANCHESTERME04351010443926501(C)(3)$75,000$0SUPPORT INTEGRATION OF SOCIAL DRIVERS OF HEALTH SCREENING/TOOLS INTO PHYSICIAN PRACTICE
BROWN UNIVERSITY OF PROVIDENCE
CONTROLLERS OFFICE BOX 3PROVIDENCERI02912050258809501(C)(3)$25,000$0TO SUPPORT THE IMPLEMENTATION OF THE SECOND PATIENT PRACTITIONER AND COMPUTER CONFERENCE
INDIANA MEDICAL FOUNDATION
23 CANAL WALKINDIANAPOLISIN46202237001672501(C)(3)$75,000$0TO SUPPORT THE LAUNCH OF A PHYSICIAN LEADERSHIP PROGRAM
MASSACHUSETTS MEDICAL SOCIETY AND ALLIANCE CHARITABLE FOUNDATION
860 WINTER STREETWALTHAMMA02451223199624501(C)(3)$75,000$0TO SUPPORT TELEHEALTH
MONTANA MEDICAL ASSOCIATION FOUNDATION
2021 11TH AVENUE STE 1HELENAMT59601463696068501(C)(3)$150,000$0TO SUPPORT A PHYSICIAN LEADERSHIP PROGRAM
ARIZONA MEDICAL ASSOCIATION FOUNDATION
2401 W PEORIA AVE STE 130PHOENIXAZ85029237036794501(C)(3)$75,000$0TO SUPPORT DRIVERS OF HEALTH IN ARIZONA
CENTER FOR A HEALTHY MARYLAND
1211 CATHEDRAL STBALTIMOREMD21201521110642501(C)(3)$75,000$0SUPPORT INTEGRATION OF SOCIAL DRIVERS OF HEALTH SCREENING/TOOLS INTO PHYSICIAN PRACTICE
DUVAL COUNTY MEDICAL SOCIETY FOUNDATION
PO BOX 551538JACKSONVILLEFL32255590880039501(C)(3)$150,000$0TO SUPPORT DUVAL COUNTY MEDICAL SOCIETY LIFEBRIDGE NAVY MEDICAL CORPS EXPANSION
VERMONT MEDICAL SOCIETY EDUCATION AND RESEARCH FOUNDATION
PO BOX 1457MONTPELIERVT05601200183445501(C)(3)$150,000$0TO SUPPORT A PHYSICIAN LEADERSHIP PROGRAM
FOUNDATION OF THE PENNSYLVANIA MEDICAL SOCIETY
777 EAST PARKHARRISBURGPA17105371732501501(C)(3)$74,985$0TO SUPPORT CHRONIC CARE MANAGEMENT BY INCORPORATING DRIVERS OF HEALTH
FUTURE ALASKA MEDICAL LEADERS
4107 LAUREL STANCHORAGEAK99508831874375501(C)(3)$150,000$0TO SUPPORT A PHYSICIAN LEADERSHIP PROGRAM
MINNESOTA MEDICAL ASSOCIATION FOUNDATION
3433 BROADWAY STREET NE SUITE 187MINNEAPOLISMN55413416031551501(C)(3)$117,175$0TO IMPLEMENT A PHYSICIAN-LED PEER COACHING PROGRAM.
PHYSICIANS BENEVOLENT FUND
401 WEST 15TH STREETAUSTINTX78701746062822501(C)(3)$150,000$0EXPAND PHYSICIAN HEALTH AND WELLNESS PROGRAM IN TEXAS
TENNESSEE FOUNDATION FOR QUALITY PATIENT HEALTHCARE
701 BRADFORD AVENASHVILLETN37204204232591501(C)(3)$150,000$0TO SUPPORT THE JOHN INGRAM INSTITUTE FOR PHYSICIAN LEADERSHIP
THE REGENTS OF THE UNIVERSITY OF COLORADO
13001 EAST 17TH PLACEAURORACO80045846000555501(C)(3)$149,086$0TO INVESTIGATE SMARTWATCH AND PHYSICIAN WELL-BEING: ARE WEARABLES PART OF THE SOLUTION?
TRAVIS COUNTY MEDICAL SOCIETY FOUNDATION
4300 N LAMAR BLVDAUSTINTX78756741720086501(C)(3)$125,000$0ASSIST MEDICAL SOCIETIES AS THEY IMPLEMENT LIFEBRIDGE PHYSICIAN WELLNESS PROGRAM
WSMA FOUNDATION FOR HEALTH CARE IMPROVEMENT
2001 SIXTH AVENUE SUITE 2700SEATTLEWA98121916074463501(C)(3)$150,000$0DEVELOP BEST PRACTICES TO FOSTER PHYSICIAN WELLNESS AND IMPLEMENT PEER SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org18Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTO 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DUSTIN CORCORAN
MEMBER$12,000$1,062,000$0$0$0$0$0$0$0$109,630$12,000$1,171,630$0$0
MICHAEL DARROUZET
MEMBER$0$567,000$0$28,350$0$33,866$0$30,500$0$12,047$0$671,763$0$0
JOHN DORMAN
COO$110,000$401,797$0$20,090$0$49,987$0$61,000$0$12,067$110,000$544,941$0$0
JENNIFER HANSCOM
MEMBER$12,000$312,430$0$28,157$0$7,000$0$9,150$0$12,451$12,000$369,188$0$0
HURSHELL BAGGETT
MEMBER$9,000$300,841$0$0$0$0$0$33,900$0$16,667$9,000$351,408$0$0
ROBERT SELIGSON
CEO$312,500$0$0$0$0$0$0$0$0$0$312,500$0$0$0
LARRY DOWNS
SECRETARY$14,000$240,196$0$0$0$9,608$0$0$0$0$14,000$249,804$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2JOHN DORMAN, COO, AND BOARD MEMBER MICHAEL DARROUZET ARE BOTH ORGANIZATIONAL OFFICERS AT TEXAS MEDICAL ASSOCIATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE 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 11BA 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 12CBOARD 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 15AIN 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 19ALL REQUIRED DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.
FORM 990, PART IX, LINE 11GGRANT MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 204,090. MANAGEMENT AND GENERAL EXPENSES 191,357. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 395,447. COMMUNICATIONS: PROGRAM SERVICE EXPENSES 365,500. MANAGEMENT AND GENERAL EXPENSES 30,126. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 395,626.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (20 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtControlled OrganizationControlledOrganizationInd
ALASKA STATE MEDICAL ASSOCIATION
4107 LAUREL STANCHORAGEAK99508926002176PROFESSIONAL SOCIETY REPRESENTING PHYSICIANSAK501(C)(6)0
CALIFORNIA MEDICAL ASSOCIATION
1201 J STREET SUITE 200SACREMENTOCA95814940359340PROFESSIONAL SOCIETY REPRESENTING PHYSICIANSCA501(C)(6)0
CONNECTICUT STATE MEDICAL SOCIETY
127 WASHINGTON AVE EAST 3RD FLOORNORTH HAVENCT06473060665164PROFESSIONAL SOCIETY REPRESENTING PHYSICIANSCT501(C)(6)0
DENTON COUNTY MEDICAL SOCIETY
3537 S INTERSTATE 35 ESTE 302DENTONTX76210751676014PROFESSIONAL SOCIETY REPRESENTING PHYSICIANSTX501(C)(6)0
EL PASO COUNTY MEDICAL SOCIETY
730 CITADEL DR EAST SUITE 206COLORADO SPRINGSCO80909741238007PROFESSIONAL SOCIETY REPRESENTING PHYSICIANSCO501(C)(6)0
FLORIDA MEDICAL ASSOCIATION
1430 PIEDMONT DR ETALLAHASSEEFL32308590559672PROFESSIONAL SOCIETY REPRESENTING PHYSICIANSFL501(C)(6)0
HAWAII MEDICAL ASSOCIATION
1360 S BERETANIA ST 200HONOLULUHI96814990067306PROFESSIONAL SOCIETY REPRESENTING PHYSICIANSHI501(C)(6)0
LOUISIANA STATE MEDICAL SOCIETY
6767 PERKINS ROAD SUITE 100BATON ROUGELA70808720386637PROFESSIONAL SOCIETY REPRESENTING PHYSICIANSLA501(C)(6)0
MEDICAL ASSOCIATION OF GEORGIA
1849 THE EXCHANGE SUITE 200ATLANTAGA30339580605267PROFESSIONAL SOCIETY REPRESENTING PHYSICIANSGA501(C)(6)0
MEDICAL SOCIETY OF NEW JERSEY
TWO PRINCESS ROADLAWRENCEVILLENJ08648210601684PROFESSIONAL SOCIETY REPRESENTING PHYSICIANSNJ501(C)(6)0
MEDICAL SOCIETY OF NEW YORK
865 MERRICK AVE SUITE 200WESTBURYNY11590131030760PROFESSIONAL SOCIETY REPRESENTING PHYSICIANSNY501(C)(6)0
MEDICAL SOCIETY OF NORTHERN VIRGINA
4604 JONES BRANCH DR SUITE 3150MCLEANVA22102540739279PROFESSIONAL SOCIETY REPRESENTING PHYSICIANSVA501(C)(6)0
NEBRASKA MEDICAL ASSOCIATION
233 S 13TH STREET SUITE 1200LINCOLNNE68508470372108PROFESSIONAL SOCIETY REPRESENTING PHYSICIANSNE501(C)(6)0
NEW HAMPSHIRE MEDICAL SOCIETY
7 NORTH STATE DTREETCONCORDNH03301020223176PROFESSIONAL SOCIETY REPRESENTING PHYSICIANSNH501(C)(6)0
NORTH CAROLINA MEDICAL ASSOCIATION
PO BOX 27167RALEIGHNC27611560320130PROFESSIONAL SOCIETY REPRESENTING PHYSICIANSNC501(C)(6)0
SOUTH CAROLINA MEDICAL ASSOCIATION
132 WESTPARK BLVDCOLUMBIASC29210570248750PROFESSIONAL SOCIETY REPRESENTING PHYSICIANSSC501(C)(6)0
TENNESSEE MEDICAL ASSOCIATION
701 BRADFORD AVENUENASHVILLETN37204620382010PROFESSIONAL SOCIETY REPRESENTING PHYSICIANSTN501(C)(6)0
TEXAS MEDICAL ASSOCIATION
401 WEST 15TH STREET SUITE 100AUSTINTX78701741078510PROFESSIONAL SOCIETY REPRESENTING PHYSICIANSTX501(C)(6)0
VERMONT MEDICAL SOCIETY
PO BOX 1457MONTPELIERVT05601030164911PROFESSIONAL SOCIETY REPRESENTING PHYSICIANSVT501(C)(6)0
WASHINGTON STATE MEDICAL ASSOCIATION
2001 SIXTH AVE SUITE 2700SEATTLEWA98121910462170PROFESSIONAL SOCIETY REPRESENTING PHYSICIANSWA501(C)(6)0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MEDICAL SOCIETY OF NEW JERSEY
P$10,253FMV
TEXAS MEDICAL ASSOCIATION
P$27,902FMV
TEXAS MEDICAL ASSOCIATION
M$100,000CONTRACTED AMOUNT
WASHINGTON STATE MEDICAL ASSOCIATION
P$8,579FMV
MEDICAL SOCIETY OF NORTHERN VIRGINIA
R$12,000FMV
TEXAS MEDICAL ASSOCIATION
R$12,000FMV
CALIFORNIA MEDICAL ASSOCIATION
P$1,009FMV