AMERICAN COLLEGE OF PHYSICIANS FOUNDATION: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- AMERICAN COLLEGE OF PHYSICIANS FOUNDATION (EIN 23-2991077)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-02-08
- IRS object ID
- 201340399349300904
- Schema version
- 2011v1.5
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-02-08T08:26:38-06:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Fesnak and Associates LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1777 Sentry Pk W Dublin Ste 300 | AddressLine1 |
| City | Blue Bell | City |
| State | PA | State |
| ZIP Code | 19422 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232991077 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | American College of Physicians Foundation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % WAYNE H BYLSMA | InCareOfName |
| Name Control | AMER | NameControl |
| Phone | 2153512809 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 190 N Independence Mall West | AddressLine1 |
| City | Philadelphia | City |
| State | PA | State |
| ZIP Code | 191061572 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Wayne Bylsma | Name |
| Title | ACP COO | Title |
| Phone | 2153512820 | Phone |
| Date Signed | 2013-01-17 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Kevin S Hill | Name |
| Phone | 2674192200 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Wayne H Bylsma | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 190 N INDEPENDENCE MALL WEST | AddressLine1 |
| City | Philadelphia | City |
| State | PA | State |
| ZIP Code | 19106 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 3909503 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | http://www.acpfoundation.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1999 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | The Foundation was incorporated to enhance the quality and effectiveness of health care by fostering communication among patients, their physicians and other health care professionals. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 18 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 457828 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 342161 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 2403260 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 3426169 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 122681 | InvestmentIncomePriorYear |
| Investment Income Current Year | 141173 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 2983769 | TotalRevenuePriorYear |
| Total Revenue Current Year | 3909503 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 429603 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 437098 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1154590 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1197657 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 1172 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1503415 | OtherExpensePriorYear |
| Other Expenses Current Year | 1802415 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 3087608 | TotalExpensesPriorYear |
| Total Expenses Current Year | 3437170 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -103839 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 472333 | RevenuesLessExpensesCY |
| Total Assets BOY | 6294322 | TotalAssetsBOY |
| Total Assets EOY | 5362041 | TotalAssetsEOY |
| Total Liabilities BOY | 3699916 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2552746 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2594406 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2809295 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO ENHANCE THE QUALITY AND EFFECTIVENESS OF HEALTH CARE BY FOSTERING COMMUNICATION AMONG PATIENTS, THEIR PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 3133836 | Expense |
| Grants | 437098 | Grants |
| Revenue | 3426169 | Revenue |
| Description | The Foundation has a Health Communication Initiative to improve patient care by enhancing effective communication among patients, families,clinicians and others in the health care team. The Foundation targets the needs of vulnerable populations, including the aging population and those with chronic disease. Program efforts include HEALTH TIPS, HEALTH NOTES, HEALTH VIDEOS, and chronic disease Self-Management Guides including Diabetes, COPD, and Caring for Your Heart. Foundation tools are provided free of charge to physicians and organizations and are used at the point-of-care. Foundation patient education materials provide better communication in the clinical encounter and improved patient understanding of basic health information and services. The goal of Foundation tools is improved patient education, self-management, quality of care, and ultimately, improved health outcomes. | Description |
| Total Program Service Expense | 3133836 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 35 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | PA | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | WAYNE H BYLSMA | NamePerson |
| Telephone Number | 2153512820 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 190 N INDEPENDENCE MALL W | AddressLine1 |
| City | Philadelphia | City |
| State | PA | State |
| ZIP Code | 19106 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| Joseph W Stubbs MD FACP | ||||||
| Immediate Past Chair | 1.5 | X | X | 0 | 0 | 0 |
| David B Duggan MD MACP | ||||||
| Secratary/Treasurer | 1.5 | X | X | 0 | 0 | 0 |
| Stephan L Kamholz MD MACP | ||||||
| Chair-Elect | 2.0 | X | X | 0 | 0 | 0 |
| Nittin S Damle MD MS FACP | ||||||
| Trustee | 0.5 | X | 0 | 0 | 0 | |
| Donna Sweet MD MACP | ||||||
| Trustee | 2.0 | X | 0 | 0 | 0 | |
| Darren DeWalt MD MPH | ||||||
| Trustee | 2.0 | X | 0 | 0 | 0 | |
| Ana Maria Lopez MD MPH FACP | ||||||
| Trustee | 0.5 | X | 0 | 0 | 0 | |
| Robert McNellis MPH PA | ||||||
| Trustee | 0.5 | X | 0 | 0 | 0 | |
| Barbara L Schuster MD MACP | ||||||
| CHAIR | 3.0 | X | X | 0 | 0 | 0 |
| Dennis W Cope MD FACP | ||||||
| Trustee | 0.5 | X | 0 | 0 | 0 | |
| Lynne Kirk MD MACP | ||||||
| Trustee | 0.5 | X | 0 | 0 | 0 | |
| Donald W Hatton MD FACP | ||||||
| Trustee | 0.5 | X | 0 | 0 | 0 | |
| Steven E Weinberger MD FACP | ||||||
| Ex Officio, ACP EVP/CEO | 0.5 | X | 0 | 0 | 0 | |
| Lawrence M Phillips MD FACP | ||||||
| Trustee | 0.5 | X | 0 | 0 | 0 | |
| Robert L Harnsberger | ||||||
| VP & COO | 55.0 | X | 248308 | 0 | 0 | |
| Jean A Krause | ||||||
| Exec VP/ CEO | 55.0 | X | 255769 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 504077 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Northwestern University | |||||
| 750 N Lake Shore Drive 7th Floor | CHICAGO | IL | 606113152 | Research | 160020 |
| Regents of the University of Califo | |||||
| 3333 California Street Suite 315 | SAN FRANCISCO | CA | 94143 | Research | 184786 |
| LSU Health Sciences Center | |||||
| PO Box 33932 | SHREVEPORT | LA | 71130 | Research | 138059 |
| Willian B Krause | |||||
| 1143 Queensgate Drive | SMYRNA | GA | 30082 | Business Development | 117899 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| All Other Contributions | 342161 | AllOtherContributions |
| Total Contributions | 342161 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| DIABETES GUIDE SALES | 80248 | 80248 |
| GRANT REVENUE | 3323351 | 3323351 |
| ADMINISTRATIVE FEES | 22570 | 22570 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 3426169 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 141173 | TotalRevenueColumn |
| Exclusion | $141,173 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3909503 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3426169 | RelatedOrExemptFunctionIncome |
| Exclusion | $141,173 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 437098 | Total |
| Program Services | 437098 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 504077 | Total |
| Program Services | 422417 | ProgramServices |
| Management And General | 81156 | ManagementAndGeneral |
| Fundraising | 504 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 364234 | Total |
| Program Services | 305613 | ProgramServices |
| Management And General | 58402 | ManagementAndGeneral |
| Fundraising | 219 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 87923 | Total |
| Program Services | 73679 | ProgramServices |
| Management And General | 14156 | ManagementAndGeneral |
| Fundraising | 88 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 241423 | Total |
| Program Services | 202313 | ProgramServices |
| Management And General | 38868 | ManagementAndGeneral |
| Fundraising | 242 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 525 | Total |
| Management And General | 525 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25778 | Total |
| Management And General | 25778 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 169645 | Total |
| Program Services | 164951 | ProgramServices |
| Management And General | 4694 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83885 | Total |
| Program Services | 70211 | ProgramServices |
| Management And General | 13606 | ManagementAndGeneral |
| Fundraising | 68 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30509 | Total |
| Program Services | 32718 | ProgramServices |
| Management And General | -2209 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 210744 | Total |
| Program Services | 209632 | ProgramServices |
| Management And General | 1112 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PRINTING AND PUBLICATION | 571568 | 569851 | 1717 |
| POSTAGE AND SHIPPING | 177420 | 173603 | 3817 |
| COMMITTEE EXPENSES | 49670 | 22953 | 26717 |
| PATIENT MATERIALS | 386074 | 386074 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 96597 | Total |
| Program Services | 62723 | ProgramServices |
| Management And General | 33823 | ManagementAndGeneral |
| Fundraising | 51 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3437170 | Total |
| Program Services | 3133836 | ProgramServices |
| Management And General | 302162 | ManagementAndGeneral |
| Fundraising | 1172 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 181144 | BOY |
| EOY | 23254 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 194655 | BOY |
| EOY | 424098 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28243 | BOY |
| EOY | 0 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 53612 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 53612 | LandBldgEquipmentAccumDeprec |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5828280 | BOY |
| EOY | 4859689 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62000 | BOY |
| EOY | 55000 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6294322 | BOY |
| EOY | 5362041 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1089983 | BOY |
| EOY | 1228089 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 160020 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2449913 | BOY |
| EOY | 1324657 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3699916 | BOY |
| EOY | 2552746 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2532406 | BOY |
| EOY | 2754295 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62000 | BOY |
| EOY | 55000 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2594406 | BOY |
| EOY | 2809295 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6294322 | BOY |
| EOY | 5362041 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 472333 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -257444 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 651556 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 574601 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 481103 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 457828 | CurrentTaxYearMinus1Year |
| Current Tax Year | 342161 | CurrentTaxYear |
| Total | 2507249 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 651556 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 574601 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 481103 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 457828 | CurrentTaxYearMinus1Year |
| Current Tax Year | 342161 | CurrentTaxYear |
| Total | 2507249 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 2507249 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 137016 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 117435 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 99320 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 122681 | CurrentTaxYearMinus1Year |
| Current Tax Year | 141173 | CurrentTaxYear |
| Total | 617625 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 3124874 | TotalSupport |
| Gross Receipts From Admissions Etc | 11028343 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.80235 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.88425 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Land | Land | |
| Buildings | Buildings | |
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 53612 | OtherCostOrOtherBasis |
| Depreciation | 53612 | Depreciation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildings | |
| Total Revenue | 3909503 | TotalRevenue |
| Total Expenses | 3437170 | TotalExpenses |
| Excess Or Deficit For Year | 472333 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 58250 | NetUnrealizedGLOnInvestments |
| Other | -$315,694 | OtherAmount |
| Total Adjustments | -257444 | TotalAdjustments |
| Excess Or Deficit Per FS | 214889 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 3960753 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 58250 | NetUnrealizedGainsInvestments |
| Other Revenues | -7000 | OtherRevenues |
| Revenue Not Rptd F990 | 51250 | RevenueNotRptdF990 |
| Revenue Subtotal | 3909503 | RevenueSubtotal |
| Total Revenue Per Form990 | 3909503 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 3437170 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 3437170 | ExpensesSubtotal |
| Total Expenses Per Form990 | 3437170 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Change in Value of Split Interest Agreement | Schedule D, Part XI, Line 8 & Part XII line 2d | During the fiscal year ended June 30, 2012 there was a decrease in the value of split-interest agreements of $7,000. |
| Pension and Post-Retirement Change | Schedule D, Part XI, Line 8 | Pension and post-retirement changes other than net periodic costs for a loss of $308,694. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (4 entries)
| Address Line1AddressUS/AddressLine1 | Address Line2AddressUS/AddressLine2 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|
| LSU Health Sciences Center | ||||||||
| 1501 Kings Highway | PO Box 33932 | Shreveport | LA | 711303932 | 720702002 | 501(c)(3) | 119179 | Obesity League |
| Northwestern University | ||||||||
| Accounting Services for Res and Sp | 730 N Lake Shore Dr 7th Floor | Chicago | IL | 60611 | 362167817 | 501(c)(3) | 170908 | research |
| Regents of the University of California | ||||||||
| Controllers Office UCSF | 1855 Folsom Street Suite 425 Box | San Francisco | CA | 941430897 | 946036493 | 501(c)(3) | 137011 | Obesity Guide |
| Institute of Medicine of the National Acadamies | ||||||||
| 500 Fifth Street NW Keck 805 | Washington | DC | 20001 | 530196932 | 501(c)(3) | 10000 | Roundtable on Health Literacy | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Use of Grant Funds | Identifier |
| Return Reference | 990, Schedule I, Part 1, Question 2 | ReturnReference |
| Explanation | The American College of Physicians Foundation disburses grant funds on a progreYs basis, and requires iterim and final reports. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Robert L Harnsberger | |||||||||||||
| 223228 | 0 | 25080 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 248308 | 0 | 0 | 0 |
| Jean A Krause | |||||||||||||
| 224869 | 0 | 30900 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 255769 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | William Baker Krause | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | Family Member | Relationship |
| Amount Of Transaction | 421123 | AmountOfTransaction |
| Description Of Transaction | CONSULTING SERVICES | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Review Policy | 990 Part VI, Section B, Question 11 | Staff reviews the Form 990, and the CEO signs and reviews the Form 990 with the Finance Chair. |
| Governing Documents | 990 Part VI, Section C, Question 19 | The Foundation makes its financial statements and conflict of interest policy available on its website. Its governing documents are available upon request. |
| Compensation Policy | 990, Part VI, Section B, Question 15a & 15b | Independent compensation consultants, Form 990 of other organizations, written employment contracts, and compensation studies are used to determine the compensation range for the EVP/CEO. The Compensation Committee of the Board of Trustees then determines the compensation for the EVP/CEO. Consultants and similar benchmarks are performed for the VP/COO position. |
| Conflict of Interest Policy | 990, Part VI, Section B, Question 12c | Each Trustee, Committee member, and employee is required to read and sign a conflict of interest agreement. Any and all conflicts are to be disclosed upon signing the conflict of interest agreement. |
| Employees | Part V Line 2a | The organization does not pay employees directly. Employees are paid from the College and hence receive a W-2 from American College of Physicians. |
| Reconciliation of Net Assets | Part XI, Line 5 | Other changes in net assets totalling ($257,444) are made up of the following: $58,250 Unrealized gains ($7,000) Change in value of split-interest agreements ($308,694) Pension and post-retirement change |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | American College of Physicians | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 190 North Independence Mall W | AddressLine1 |
| City | Philadelphia | City |
| State | PA | State |
| ZIP Code | 19106 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 231520302 | EIN |
| Primary Activities | College | PrimaryActivities |
| Legal Domicile State | PA | LegalDomicileState |
| Exempt Code Section | 501(c)(3) | ExemptCodeSection |
| Public Charity Status | 9 | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | false | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
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