FURP.ORG / PUBLIC DATA EXPLORER

THE PHYSICIANS FOUNDATION INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
THE PHYSICIANS FOUNDATION INC (EIN 20-0914085)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-14
IRS object ID
201913189349314621
Schema version
2018v3.1
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)
Return2019-11-14T19:10:37-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

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 Line11779 WELLS BRANCH PKWY 110B-292AddressLine1Txt
CityAUSTINCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78728ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

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 NO 100AddressLine1Txt
CityAUSTINCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78701ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROBERT SELIGSONPersonNm
Person TitleTREASURERPersonTitleTxt
Phone6173990417PhoneNum
Signature2019-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCATHERINE AVENSONPreparerPersonNm
PTINP01259734PTIN
Phone5126939131PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address47.220.181.233IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-14IPDt
IP Tm19:10:33IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id7FBB1FF3FA313FF48503ED9694125008F8DDFE26AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOHN DORMANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 W 15TH STREET NO 100AddressLine1Txt
CityAUSTINCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78701ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$31,561,099GrossReceiptsAmt
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 Body23VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$4,793,923PYInvestmentIncomeAmt
CY Investment Income$8,161,753CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$4,793,923PYTotalRevenueAmt
CY Total Revenue$8,161,753CYTotalRevenueAmt
PY Grants And Similar Paid$5,829,978PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$3,072,581CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$219,500PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$258,000CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,297,446PYOtherExpensesAmt
CY Other Expenses$3,989,604CYOtherExpensesAmt
PY Total Expenses$9,346,924PYTotalExpensesAmt
CY Total Expenses$7,320,185CYTotalExpensesAmt
PY Revenues Less Expenses-$4,553,001PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$841,568CYRevenuesLessExpensesAmt
Total Assets BOY$119,293,065TotalAssetsBOYAmt
Total Assets EOY$106,371,957TotalAssetsEOYAmt
Total Liabilities BOY$3,285,200TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,526,819TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$116,007,865NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$103,845,138NetAssetsOrFundBalancesEOYAmt
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$3,523,453ExpenseAmt
Grant$1,657,950GrantAmt
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$1,322,705ExpenseAmt
Grant$1,015,075GrantAmt
DescDISASTER RELIEF - GRANTS TO HELP PHYSICIAN PRACTICES REBUILD AFTER DISASTERS SO THEY CAN GET BACK TO TREATING PATIENTS AS QUICKLY AS POSSIBLE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$546,707ExpenseAmt
Grant$399,556GrantAmt
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

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$719,561ExpenseAmt
DescOTHER ACTIVITIES TO PROMOTE HIGH QUALITY MEDICAL CARE.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$719,561TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$6,112,426TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
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 With Officer EntYes (1)BusinessRlnWithOfficerEntInd
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
Employee0EmployeeCnt
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 Members23GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
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 (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
RAY WALKER MD
CHAIRMAN20.00Yes (X)Yes (X)$14,000$0$0
SUNNY RAMCHANDANI MD
MEMBER5.00Yes (X)$0$0$0
SUBHI ALI MD
MEMBER5.00Yes (X)$12,000$0$0
SANDRA JOHNSON
MEMBER5.00Yes (X)$12,000$0$0
RUSSELL LIBBY MD
MEMBER5.00Yes (X)$12,000$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)$0$334,750$37,00040.00
PAUL HARRINGTON
MEMBER5.00Yes (X)$12,000$0$040.00
PALMER JONES
MEMBER5.00Yes (X)$12,000$0$0
LOU GOODMAN
MEMBER5.00Yes (X)$12,000$765,717$148,16740.00
JOSEPH VALENTI MD
MEMBER5.00Yes (X)$12,000$0$0
JENNIFER HANSCOM
MEMBER5.00Yes (X)$12,000$215,048$19,55340.00
GERALD MCKENNA MD
MEMBER5.00Yes (X)$12,000$0$0
GARY PRICE MD
MEMBER5.00Yes (X)$14,000$0$0
DUSTIN CORCORAN
MEMBER5.00Yes (X)$12,000$919,472$71,64940.00
DON ALEXANDER
MEMBER5.00Yes (X)$12,000$0$0
ALEX MALTER MD
MEMBER5.00Yes (X)$9,000$0$0
ROBERT SELIGSON
TREASURER15.00Yes (X)Yes (X)$14,000$402,507$040.00
LARRY DOWNS
SECRETARY5.00Yes (X)Yes (X)$14,000$222,818$040.00
LAWRENCE BRAUD MD
VICE PRESIDENT5.00Yes (X)Yes (X)$14,000$0$0
ALAN PLUMMER MD
VICE PRESIDENT10.00Yes (X)Yes (X)$14,000$0$0
MARCH SEABROOK
MEMBER5.00Yes (X)$9,000$19,000$05.00
JOHN DORMAN
COO5.00Yes (X)$0$453,472$67,49040.00
TIM NORBECK MGMT CO
CEO40.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$258,000TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,332,784TotReportableCompRltdOrgAmt
Total Other Compensation$343,859TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
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
575 LEXINGTON AVE 9TH FLOORNEW YORKNY10022PROGRAM PROJECT$1,500,000
GMA FOUNDATIONS
2 LIBERTY SQUARE SUITE 500BOSTONMA02109GRANT MANAGEMENT$468,415
COOPERKATZ
205 LEXINGTON AVE 5TH FLOORNEW YORKNY10016COMMUNICATIONS$344,141
MERRITT HAWKINS & ASSOCIATES
PO BOX 281943ATLANTAGA30384SURVEY$300,000
NORBECK ASSOCIATES LLC
22451 GLENVIEW LANEBONITA SPRINGSFL34135EXECUTIVE MANAGEMENT$300,000
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,082,875TotalRevenueColumnAmt
Exclusion$3,082,875ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$28,478,224SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$23,399,346SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$5,078,878SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,078,878TotalRevenueColumnAmt
Exclusion$5,078,878ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,161,753TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$8,161,753ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$3,072,581TotalAmt
Program Services$3,072,581ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$258,000TotalAmt
Program Services$196,080ProgramServicesAmt
Management And General$61,920ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$400,000TotalAmt
Program Services$275,000ProgramServicesAmt
Management And General$125,000ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$161,727TotalAmt
Management And General$161,727ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$110,550TotalAmt
Management And General$110,550ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$264,661TotalAmt
Management And General$264,661ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$861,326TotalAmt
Program Services$581,542ProgramServicesAmt
Management And General$279,784ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,947TotalAmt
Management And General$10,947ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$85,287TotalAmt
Program Services$22,564ProgramServicesAmt
Management And General$62,723ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$284,881TotalAmt
Program Services$216,510ProgramServicesAmt
Management And General$68,371ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$155,002TotalAmt
Program Services$117,802ProgramServicesAmt
Management And General$37,200ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$21,623TotalAmt
Management And General$21,623ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROFESSIONAL CONSULTING$1,442,617$1,442,617
LEADERSHIP DEVELOPMENT$132,921$132,921
SPONSORSHIPS$87,665$87,665
DUES AND SUBSCRIPTIONS$3,253$3,253

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total-$32,856TotalAmt
Program Services-$32,856ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,320,185TotalAmt
Program Services$6,112,426ProgramServicesAmt
Management And General$1,207,759ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$323,798BOYAmt
EOY$932,485EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,927,515BOYAmt
EOY$3,910,658EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$64,514BOYAmt
EOY$675,708EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$59,135,090BOYAmt
EOY$38,459,865EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$56,842,148BOYAmt
EOY$62,393,241EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$119,293,065BOYAmt
EOY$106,371,957EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$177,223BOYAmt
EOY$108,761EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$3,107,977BOYAmt
EOY$2,418,058EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,285,200BOYAmt
EOY$2,526,819EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$116,007,865BOYAmt
EOY$103,845,138EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$116,007,865BOYAmt
EOY$103,845,138EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$119,293,065BOYAmt
EOY$106,371,957EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$841,568ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$13,004,295NetUnrlzdGainsLossesInvstAmt
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 Organizations85SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (85 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
ALASKA STATE MEDICAL ASSOCIATION
92600217610Yes (1)$0$0
REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN FRANCISCO
94603649370$0$0
PALM BEACH COUNTY MEDICAL SOCIETY SERVICES
65104829970$148,800$0
OHIO MEDICAL EDUCATION FOUNDATION
310907287100$0$0
NORTH CAROLINA MEDICAL SOCIETY FOUNDATION
56608814270$650,000$0
NEBRASKA MEDICAL FOUNDATION
47603682770$0$0
MOUNT SINAI MEDICAL CENTER
13627188870$0$0
MONTANA MEDICAL ASSOCIATION FOUNDATION
463696068100$0$0
SOUTH CAROLINA MEDICAL ASSOCIATION FOUNDATION
570168534100$15,075$0
MISSISSIPPI STATE MEDICAL ASSOCIATION FOUNDATION
570906060100$0$0
MICHIGAN STATE MEDICAL SOCIETY FOUNDATION
38606943270$0$0
METRO OMAHA MEDICAL SOCIETY FOUNDATION
470814363100$0$0
MEDICAL SOCIETY OF VIRGINIA FOUNDATION
52139476870$0$0
MEDICAL EDUCATION AND SCIENTIFIC FOUNDATION OF NY
11278036070$149,300$0
MEDICAL ASSOCIATION OF GEORGIA FOUNDATION
58606643170$0$0
MAYO CLINIC
416011702100$0$0
MAINE QUALITY COUNTS
20493597270$0$0
LOUISIANA STATE MEDICAL SOCIETY EDUCATION AND RESEARCH FOUNDATION
23702925970$0$0
MINNEAPOLIS MEDICAL RESEARCH FOUNDATION (HENNEPIN HEALTHCARE RESEARCH)
41167792070$0$0
SOUTH DAKOTA STATE MEDICAL ASSOCIATION FOUNDATION
46601268050$0$0
TENNESSEE MEDICAL EDUCATION FUND INC (TN MEDICAL ASSOCIATION STUDENT EDUCA
62604992070$0$0
TEXAS MEDICAL ASSOCIATION SPECIAL FUNDS FOUNDATION
74274987970$0$0
ASSOCIATION OF WOMEN SURGEONS FOUNDATION
364029232100$99,556$0
CALIFORNIA MEDICAL ASSOCIATION FOUNDATION
94606282270$0$0
WYOMING MEDICAL SOCIETY SCHOLARSHIP FUND
83600484670$0$0
WSMA FOUNDATION FOR HEALTH CARE IMPROVEMENT
91607446370$0$0
WISCONSIN MEDICAL SOCIETY FOUNDATION
39604564970$0$0
WESTERN CAROLINA MEDICAL SOCIETY FOUNDATION INC
455586998100$0$0
VERMONT MEDICAL SOCIETY EDUCATION AND RESEARCH FOUNDATION
200183445100$0$0
UTAH MEDICAL ASSOCIATION FOUNDATION
876122299100$75,000$0
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
56600139320$0$0
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
04316735220$0$0
UNIVERSITY MEDICINE FOUNDATION (BROWN MEDICINE)
05045041040$0$0
UNITED PHYSICIANS AND SURGEONS OF AMERICA
47181906170$0$0
TWIN CITIES MEDICAL SOCIETY FOUNDATION
510178010100$0$0
TRAVIS COUNTY MEDICAL SOCIETY FOUNDATION
74172008670$0$0
THE GENERAL HOSPITAL (MASSACHUSETTS GENERAL HOSPITAL)
04269798330$0$0
THE BOWLER-BARTLETT FOUNDATION
23742585870$0$0
KENTUCKY FOUNDATION FOR MEDICAL CARE
23718172870$0$0
KANSAS MEDICAL FOUNDATION
48119466370$0$0
JOAN & SANFORD I WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY NYPH-WEILL CO
13162397820$0$0
INSTITUTE OF MEDICINE AND PUBLIC & NEW JERSEY
20067801270$0$0
WASHINGTON STATE MEDICAL ASSOCIATION
91046217010Yes (1)$0$0
VERMONT MEDICAL SOCIETY
03016491110Yes (1)$0$0
TEXAS MEDICAL ASSOCIATION
74107851010Yes (1)$0$0
TENNESSEE MEDICAL ASSOCIATION
62038201010Yes (1)$0$0
SOUTH CAROLINA MEDICAL ASSOCIATION
57024875010Yes (1)$0$0
NORTH CAROLINA MEDICAL ASSOCIATION
56032013010Yes (1)$0$0
NEW HAMPSHIRE MEDICAL SOCIETY
02022317610Yes (1)$0$0
NEBRASKA MEDICAL ASSOCIATION
47037210810Yes (1)$0$0
MEDICAL SOCIETY OF NORTHERN VIRGINA
54073927910Yes (1)$0$0
MEDICAL SOCIETY OF NEW YORK
13103076010Yes (1)$0$0
MEDICAL SOCIETY OF NEW JERSEY
21060168410Yes (1)$0$0
MEDICAL ASSOCIATION OF GEORGIA
58060526710Yes (1)$0$0
LOUISIANA STATE MEDICAL SOCIETY
72038663710Yes (1)$0$0
HAWAII MEDICAL ASSOCIATION
99006730610Yes (1)$0$0
FLORIDA MEDICAL ASSOCIATION
59055967210Yes (1)$0$0
EL PASO COUNTY MEDICAL SOCIETY
74123800710Yes (1)$0$0
DENTON COUNTY MEDICAL SOCIETY
75167601410Yes (1)$0$0
CONNECTICUT STATE MEDICAL SOCIETY
06066516410Yes (1)$0$0
CALIFORNIA MEDICAL ASSOCIATION
94035934010Yes (1)$0$0
ACCMA COMMUNITY HEALTH FOUNDATION
46170350870$150,000$0
BAYLOR SCOTT & WHITE HEALTHCARE FOUNDATION
27351315470$150,000$0
AMERICAN ACADEMY OF DERMATOLOGY
410793046100$0$0
AMERICAN MEDICAL ASSOCIATION FOUNDATION
36608051770$0$0
INSTITUTE FOR MEDICAL QUALITY
943240330100$150,000$0
INDIANA MEDICAL FOUNDATION
23700167270$150,000$0
HEALTH LEADS
45048453370$0$0
HAWAII MEDICAL FOUNDATION
23706369870$0$0
FOUNDATION OF THE AMERICAN ASSOCIATION OF MEDICAL SOCIETY EXECUTIVES
362915937100$0$0
FOUNDATION FOR HEALTHY FLORIDIANS
46225949770$505,000$0
FAMILY HEALTH CENTER OF WORCESTER
04248530870$0$0
EQUALHEALTH INC (PHYSICIANS FOR HAITI)
27364574270$0$0
DOCS FOR PATIENT CARE FOUNDATION
464752703100$250,000$0
DELAWARE MEDICAL EDUCATION FOUNDATION
51034362570$0$0
DANIEL HANLEY CENTER FOR HEALTH LEADERSHIP
20427148870$0$0
CONNECTICUT STATE MEDICAL SOCIETY PHYSICIAN HEALTH & EDUCATION FUND
06142520570$150,000$0
COMMUNITY SERVICE EDUCATION AND RESEARCH FUND
23700358170$0$0
COLORADO MEDICAL SOCIETY FOUNDATION
841390157100$0$0
CENTER FOR A HEALTHY MARYLAND
52111064270$0$0
CALIFORNIA ACADEMY OF FAMILY PHYSICIANS FOUNDATION
94114956570$129,850$0
BOARD OF TRUSTEES OF THE LELAND STANFORD JR UNIVERSITY
94115636520$0$0
BENJAMIN RUSH INSTITUTE
46184830270$0$0
AMERICAN ACADEMY OF PEDIATRICS
362275597100$150,000$0
PHYSICIANS FOR A HEALTHY CALIFORNIA
94606282270$150,000$0
FieldValueIRS element (for citing)
Supported Organizations Total85SupportedOrganizationsTotalCnt
Support Sum$3,072,581SupportSumAmt
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 2018 THE FOUNDATION MADE NEW GRANTS TO 3 ORGANIZATIONS THAT WERE NOT LISTED ON THE 2017 FORM 990: ASSOCIATION OF WOMEN SURGEONS FOUNDATION, BAYLOR SCOTT & WHITE HEALTHCARE FOUNDATION, AND PHYSICIANS FOR A HEALTHY CALIFORNIA. SOME OF THE SUPPORTED ORGANIZATIONS DID NOT RECEIVE SUPPORT DURING 2018, BUT THEY ARE ALL LISTED ON SCHEDULE A, PART VI OF THE 2018 FORM 990. 5 ORGANIZATIONS THAT WERE LISTED AS SUPPORTED ORGANIZATIONS ON THE 2017 FORM 990, SCHEDULE A ARE NO LONGER SUPPORTED ORGANIZATIONS AND WERE REMOVED FROM THE 2018 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 (9 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
VANGUARD TOTAL BD MKT IDX INST$8,311,708F
METROPOLITAN WST INTM BD I$8,419,331F
S&P 500 INDEX FUND$9,638,927F
ISHARES SP SMALLCAP 600 INDEX$5,656,512F
FPA CRESCENT FD INSTL$5,923,762F
ISHARES S&P MIDCAP 400 INDEX$6,038,108F
PIMCO INCOME INST$7,010,742F
BLACKROCK GLOBAL ALLOCATION I$5,741,004F
WELLS FARGO ABSOLT RET I$5,653,147F
FieldValueIRS element (for citing)
Total Book Value Securities$62,393,241TotalBookValueSecuritiesAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt-$5,107,203TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$13,004,295NetUnrealizedGainsInvstAmt
Revenue Not Reported-$13,004,295RevenueNotReportedAmt
Revenue Subtotal$7,897,092RevenueSubtotalAmt
Investment Expenses Not Incld$264,661InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$264,661RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$8,161,753TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$7,055,524TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$7,055,524ExpensesSubtotalAmt
Investment Expenses Not Incld2$264,661InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$264,661ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$7,320,185TotalExpensesPerForm990Amt

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, 2018, 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 GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
MEDICAL EDUCATION AND SCIENTIFIC FOUNDATION OF NY
865 MERRICK AVEWESTBURYNY11590112780360501(C)(3)$149,300TO SUPPORT A LEADERSHIP PROGRAM TARGETING MEDICAL STUDENTS, RESIDENTS AND YOUNG PHYSICIANS
DOCS FOR PATIENT CARE FOUNDATION
1210 NORTH MAPLE ROADANN ARBORMI48103464752703501(C)(3)$250,000TO SUPPORT THE DIRECT PRIMARY CARE CONFERENCE
FOUNDATION FOR HEALTHY FLORIDIANS
1430 PIEDMONT DRIVE EASTTALLAHASSEEFL32308462259497501(C)(3)$500,000HURRICANE DISASTER RELIEF SUPPORT
FOUNDATION FOR HEALTHY FLORIDIANS
1430 PIEDMONT DRIVE EASTTALLAHASSEEFL32308462259497501(C)(3)$5,000TO DEVELOP EDUCATIONAL CONTENT AND PROMOTING AWARENESS OF PHYSICIAN-LED MODELS OF CARE
SOUTH CAROLINA MEDICAL ASSOCIATION FOUNDATION
PO BOX 11188COLUMBIASC29211570168534501(C)(3)$15,075HURRICANE DISASTER RELIEF SUPPORT
NORTH CAROLINA MEDICAL SOCIETY FOUNDATION
PO BOX 27167RALEIGHNC27611566088142501(C)(3)$500,000HURRICANE DISASTER RELIEF SUPPORT
UTAH MEDICAL ASSOCIATION FOUNDATION
310 E 4500 SOUTH 500SALT LAKE CITYUT84107876122299501(C)(3)$75,000TO SUPPORT A PHYSICIAN LEADERSHIP PROGRAM
CALIFORNIA ACADEMY OF FAMILY PHYSICIANS FOUNDATION
1520 PACIFIC AVENUESAN FRANCISCOCA94109941149565501(C)(3)$129,850TO SUPPORT THE CREATION OF A READY TO LEAD PROGRAM
PALM BEACH COUNTY MEDICAL SOCIETY SERVICES
3540 FOREST HILL BLVD 101WEST PALM BEACHFL33406651048299501(C)(3)$148,800TO DEVELOP A PHYSICIAN LEADERSHIP PROGRAM ADDRESSING DIVERSITY
ACCMA COMMUNITY HEALTH FOUNDATION
6230 CLAREMONT AVE 3RD FLOOROAKLANDCA94618461703508501(C)(3)$150,000TO SUPPORT A PHYSICIAN LEADERSHIP PROGRAM
AMERICAN ACADEMY OF PEDIATRICS
141 NORTHWEST POINT BLVDELK GROVEIL60007362275597501(C)(3)$150,000TO SUPPORT A YOUNG PHYSICIAN LEADERSHIP ALLIANCE WITH AN INTERNSHIP PROGRAM
CONNECTICUT STATE MEDICAL SOCIETY PHYSICIAN HEALTH & EDUCATION FUND
127 WASHINGTON AVE EAST BLDG 3RDNORTH HAVENCT06473061425205501(C)(3)$150,000TO SUPPORT THE DEVELOPMENT OF YOUNG PHYSICIAN LEADERSFLOOR
INDIANA MEDICAL FOUNDATION
23 CANAL WALKINDIANAPOLISIN46202237001672501(C)(3)$150,000TO SUPPORT A PHYSICIAN LEADERSHIP PROGRAM
INSTITUTE FOR MEDICAL QUALITY
180 HOWARD STREET STE 210SAN FRANCISCOCA94105943240330501(C)(3)$150,000TO SUPPORT A PHYSICIAN LEADERSHIP PROGRAM
NORTH CAROLINA MEDICAL SOCIETY FOUNDATION
PO BOX 27167RALEIGHNC27611566088142501(C)(3)$150,000TO SUPPORT A PHYSICIAN LEADERSHIP PROGRAM
ASSOCIATION OF WOMEN SURGEONS FOUNDATION
225 W WHACKER DR SUITE 650CHICAGOIL60606364029232501(C)(3)$99,556TO ADDRESS BURNOUT IN WOMEN SURGERY RESIDENTS
BAYLOR SCOTT & WHITE HEALTHCARE FOUNDATION
204 S 31ST STREETTEMPLETX76508273513154501(C)(3)$150,000TO FIGHT BURNOUT IN WOMEN PHYSICIANS USING LEADERSHIP DEVELOPMENT
PHYSICIANS FOR A HEALTHY CALIFORNIA
1201 J STREET SUITE 200SACRAMENTOCA95814946062822501(C)(3)$150,000TO DEVELOP PROGRAMS TO REDUCE STRESS AND INCREASE WELLNESS OF ETHNIC MINORITY WOMEN PHYSICIANS
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
PHIL SCHUH
MEMBER$0$334,750$0$0$0$0$0$0$0$37,000$0$371,750$0$0
LOU GOODMAN
MEMBER$12,000$614,255$0$0$0$151,462$0$117,170$0$30,997$12,000$913,884$0$0
JENNIFER HANSCOM
MEMBER$12,000$184,920$0$23,128$0$7,000$0$8,616$0$10,937$12,000$234,601$0$0
DUSTIN CORCORAN
MEMBER$12,000$500,000$0$400,000$0$19,472$0$24,750$0$46,899$12,000$991,121$0$0
ROBERT SELIGSON
TREASURER$14,000$402,507$0$0$0$0$0$0$0$0$14,000$402,507$0$0
LARRY DOWNS
SECRETARY$14,000$214,248$0$0$0$8,570$0$0$0$0$14,000$222,818$0$0
JOHN DORMAN
COO$0$362,249$0$31,923$0$59,300$0$55,000$0$12,490$0$520,962$0$0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
NORBECK ASSOCIATES LLC
OWNED BY CEO TIM NORBECK$300,000PROVIDES CEO-LEVEL MANAGEMENT SERVICES; TRANSACTIONS ARE AT ARMS-LENGHT AND FAIR VALUE0
COO INFORMATICS LLC
OWNED BY COO JOHN DORMAN$100,000PROVIDES COO-LEVEL MANAGEMENT SERVICES0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE FOUNDATION HAS CONTRACTS WITH INDEPENDENT CONTRACTORS WHO PROVIDE SERVICES AS CHIEF EXECUTIVE OFFICER (CEO) AND CHIEF OPERATING OFFICER (COO). THE COMPENSATION PAID TO THESE INDIVIDUALS HAS BEEN DISCLOSED ON PAGE 8, PART VII, SECTION B.
FORM 990, PART VI, SECTION A, LINE 4THE ARTICLES OF INCORPORATION WERE AMENDED IN 2018 TO AMEND THE CHARITABLE PURPOSES OF THE FOUNDATION TO BE ORGANIZED AND OPERATED TO SUPPORT, BENEFIT OR CARRY OUT THE CHARITABLE PURPOSES OF THE 20 PUBLICLY SUPPORTED MEDICAL SOCIETIES AND ASSOCIATIONS NAMED THEREIN, THE PURPOSES OF WHICH INCLUDE "PROMOTING HIGH QUALITY MEDICAL HEALTH CARE, INCLUDING, WITHOUT LIMITATION, ASSISTING PHYSICIANS AND THE PUBLIC TO IMPROVE THE QUALITY OF HEALTH CARE RECEIVED BY PATIENTS IN AN EVOLVING HEALTH CARE ENVIRONMENT AND TO ENHANCE THE DELIVERY OF MEDICAL CARE TO DISADVANTAGED MEMBERS OF THE PUBLIC IN A MANNER THAT CONSTITUTES CHARITABLE, SCIENTIFIC OR EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTIONS 501(C)(3) AND 170(C)(2)(B) OF THE CODE." OTHER AMENDMENTS INCLUDED REVISING THE ARTICLE RELATED TO THE BOARD OF DIRECTORS TO REFER SUCH PROVISIONS TO THE BYLAWS. THE BYLAWS WERE ALSO AMENDED IN 2018 TO MAKE CONFORMING CHANGES RELATED TO THE CHARITABLE PURPOSES AND THE BOARD OF DIRECTORS AS AMENDED BY THE ARTICLES OF INCORPORATION.
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 AND TO THE LLC'S PROVIDING CEO AND COO SERVICES TO THE FOUNDATION 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 11GPAYMENTS IN LIEU OF BOARD STIPENDS: PROGRAM SERVICE EXPENSES 13,680. MANAGEMENT AND GENERAL EXPENSES 4,320. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,000. GRANT MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 292,061. MANAGEMENT AND GENERAL EXPENSES 157,264. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 449,325. COMMUNICATIONS: PROGRAM SERVICE EXPENSES 275,801. MANAGEMENT AND GENERAL EXPENSES 118,200. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 394,001.

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
CALIFORNIA MEDICAL ASSOCIATION
P$7,693FMV
MEDICAL SOCIETY OF NEW JERSEY
P$5,593FMV
MEDICAL SOCIETY OF THE STATE OF NY
P$8,012FMV
MEDICAL SOCIETY OF THE STATE OF NY
R$12,000FMV
TEXAS MEDICAL ASSOCIATION
P$38,124FMV
TEXAS MEDICAL ASSOCIATION
M$100,000CONTRACTED AMOUNT
WASHINGTON STATE MEDICAL ASSOCIATION
P$10,145FMV