AMERICAN COLLEGE OF PHYSICIANS FOUNDATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
AMERICAN COLLEGE OF PHYSICIANS FOUNDATION (EIN 23-2991077)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-03-02
IRS object ID
201240629349301214
Schema version
2010v3.4
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)
Timestamp2012-03-02T09:20:15-06:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Fesnak and Associates LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11777 Sentry Pk W Dublin Ste 300AddressLine1
CityBlue BellCity
StatePAState
ZIP Code19422ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN232991077EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1American College of Physicians FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlAMERNameControl
Phone2153512809Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1190 N Independence Mall WestAddressLine1
CityPhiladelphiaCity
StatePAState
ZIP Code191061572ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRobert L HarnsbergerName
TitleVP & COOTitle
Phone2153512820Phone
Date Signed2012-02-16DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKevin S HillName
Phone2674192200Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJean A KrauseNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1190 N INDEPENDENCE MALL WESTAddressLine1
CityPhiladelphiaCity
StatePAState
ZIP Code19106ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2983769GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitehttp://www.acpfoundation.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionThe 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 Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers19TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year481103ContributionsGrantsPriorYear
Contributions Grants Current Year457828ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1995761ProgramServiceRevenuePriorYear
Program Service Revenue CY2403260ProgramServiceRevenueCY
Investment Income Prior Year99320InvestmentIncomePriorYear
Investment Income Current Year122681InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year2576184TotalRevenuePriorYear
Total Revenue Current Year2983769TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year642640GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY429603GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1023763SalariesEtcPriorYear
Salaries Etc Current Year1154590SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year2385TotalFundrsngExpCurrentYear
Other Expense Prior Year839337OtherExpensePriorYear
Other Expenses Current Year1503415OtherExpensesCurrentYear
Total Expenses Prior Year2505740TotalExpensesPriorYear
Total Expenses Current Year3087608TotalExpensesCurrentYear
Revenues Less Expenses Prior Year70444RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-103839RevenuesLessExpensesCY
Total Assets BOY4185170TotalAssetsBOY
Total Assets EOY6294322TotalAssetsEOY
Total Liabilities BOY1919618TotalLiabilitiesBOY
Total Liabilities EOY3699916TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2265552NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2594406NetAssetsOrFundBalancesEOY
Mission DescriptionTo enhance the quality and effectiveness of health care by fostering communication among patients, their physicians and other health care professionals.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense2688185Expense
Grants429603Grants
DescriptionThe 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 Expense2688185TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With109624NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonROBERT L HARNSBERGERNamePerson
Telephone Number2153512820TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1190 N INDEPENDENCE MALL WAddressLine1
CityPhiladelphiaCity
StatePAState
ZIP Code19106ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
JOSEPH W STUBBS MD FACP
Immediate Past Chair1.5XX000
ISABEL V HOVERMAN MD MACP
Secratary/Treasurer1.0XX000
Stephan L Kamholz MD MACP
Chair-Elect2.0XX000
Yolanda Partida MSW DPA
Trustee0.5X000
Donna Sweet MD MACP
Trustee2.0X000
Catherine Bonuccelli MD
Trustee0.5X000
Joseph J Fins MD FACP
trustee0.5X000
Virginia L Hood MBBS MPH FACP
Trustee0.5X000
Barbara L Schuster MD MACP
CHAIR3.0XX000
Dennis W Cope MD FACP
Trustee0.5X000
David Duggan MD MACP
Secretary/Treasurer1.5XX000
Lynne Kirk MD MACP
Trustee1.0X000
Donald W Hatton MD FACP
Trustee0.5X000
STEVEN E WEINBERGER MD FACP
EX OFFICIO, ACP EVP0.5X000
Richard Neubauer MD MACP
Trustee0.5X000
ROBERT L HARNSBERGER
VP & COO55.0X23665600X
Jean A Krause
Exec VP/ CEO55.0X26345600X
FieldValueIRS element (for citing)
Total Reportable Comp From Org500112TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonNorthwestern UniversityNamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1750 N Lake Shore Drive 7th FloorAddressLine1
CityCHICAGOCity
StateILState
ZIP Code606113152ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesResearchDescriptionOfServices
Compensation408962Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions457828AllOtherContributions
Total Contributions457828TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
DIABETES GUIDE SALES6047760477
GRANT REVENUE23140602314060
ADMINISTRATIVE FEES2872328723
FieldValueIRS element (for citing)
Total Program Service Revenue2403260TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column122681TotalRevenueColumn
Exclusion$122,681ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2983769TotalRevenueColumn
Related Or Exempt Function Income2403260RelatedOrExemptFunctionIncome
Exclusion$122,681ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total429603Total
Program Services429603ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total500112Total
Program Services416593ProgramServices
Management And General82518ManagementAndGeneral
Fundraising1001Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total339282Total
Program Services282622ProgramServices
Management And General55982ManagementAndGeneral
Fundraising678Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total100164Total
Program Services83437ProgramServices
Management And General16527ManagementAndGeneral
Fundraising200Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total215032Total
Program Services179122ProgramServices
Management And General35480ManagementAndGeneral
Fundraising430Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total25831Total
Management And General25831ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total281970Total
Program Services271826ProgramServices
Management And General10068ManagementAndGeneral
Fundraising76Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total6039Total
Management And General6039ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total48310Total
Management And General48310ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total42907Total
Program Services35058ProgramServices
Management And General7849ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total132814Total
Program Services131765ProgramServices
Management And General1049ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PRINTING AND PUBLICATION6846556832991356
POSTAGE AND SHIPPING1691101664922618
COMMITTEE EXPENSES30270101829252
EQUIPMENT LEASES48848084076
COMPUTER SUPPLIES/MAINTENANCE1026534716794

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total66360Total
Program Services3071ProgramServices
Management And General63289ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3087608Total
Program Services2688185ProgramServices
Management And General397038ManagementAndGeneral
Fundraising2385Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY201769BOY
EOY181144EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY376179BOY
EOY194655EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY93951BOY
EOY28243EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4063BOY
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis53612LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec53612LandBldgEquipmentAccumDeprec

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3470208BOY
EOY5828280EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY39000BOY
EOY62000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4185170BOY
EOY6294322EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY936958BOY
EOY1089983EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY222802BOY
EOY160020EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY759858BOY
EOY2449913EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1919618BOY
EOY3699916EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2211552BOY
EOY2532406EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY54000BOY
EOY62000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2265552BOY
EOY2594406EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4185170BOY
EOY6294322EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-103839ReconcilationRevenueExpenses
Reconcilation Other Changes432693ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2545930CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years651556CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years574601CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year481103CurrentTaxYearMinus1Year
Current Tax Year457828CurrentTaxYear
Total4711018Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2545930CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years651556CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years574601CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year481103CurrentTaxYearMinus1Year
Current Tax Year457828CurrentTaxYear
Total4711018Total
FieldValueIRS element (for citing)
Public Support Total1704711018PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years140207CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years137016CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years117435CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year99320CurrentTaxYearMinus1Year
Current Tax Year122681CurrentTaxYear
Total616659Total
FieldValueIRS element (for citing)
Total Support5327677TotalSupport
Gross Receipts From Admissions Etc7782174GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.88425PublicSupportPertcentage170
Public Support Pertcent Prior Year0.92456PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis53612OtherCostOrOtherBasis
Depreciation53612Depreciation
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Revenue2983769TotalRevenue
Total Expenses3087608TotalExpenses
Excess Or Deficit For Year-103839ExcessOrDeficitForYear
Net Unrealized GL On Investments436905NetUnrealizedGLOnInvestments
Other-$4,212OtherAmount
Total Adjustments432693TotalAdjustments
Excess Or Deficit Per FS328854ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt3443674TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments436905NetUnrealizedGainsInvestments
Other Revenues23000OtherRevenues
Revenue Not Rptd F990459905RevenueNotRptdF990
Revenue Subtotal2983769RevenueSubtotal
Total Revenue Per Form9902983769TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt3087608TotExpensesEtcAuditedFinclStmt
Expenses Subtotal3087608ExpensesSubtotal
Total Expenses Per Form9903087608TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Change in Value of Split Interest AgreementSchedule D, Part XI, Line 8 & Part XII line 2dDuring the fiscal year ended June 30, 2011 there was an increase in the value of split-interest agreements of $23,000.
Pension and Post-Retirement ChangeSchedule D, Part XI, Line 8Pension and post-retirement changes other than net periodic costs for a loss of $27,212.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (7 entries)

Address Line1AddressUS/AddressLine1Address Line2AddressUS/AddressLine2CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
LSU Health Sciences Center
1501 Kings HighwayPO Box 33932ShreveportLA711303932720702002501(c)(3)45543
Northwestern University
Accounting Services for Res and Sp730 N Lake Shore Dr 7th FloorChicagoIL60611362167817501(c)(3)160000research
Regents of the University of California
Controllers Office UCSF1855 Folsom Street Suite 425 BoxSan FranciscoCA941430897946036493501(c)(3)115709
University of North Carolina at Chapel Hill
Administrative Office Building Ste104 Airport Drive CB 1350Chapel HillNC275991350566001393501(c)(3)23331
American College of Physicians
190 N Independence Mall WestPhiladelphiaPA19106231520302501(c)(3)50000Leadership Day 2011
National Consumers League
1701 K Street NW Suite 1200WashingtonDC200061566530242038501(c)(3)15000Adherence Campaign
Institute of Medicine of the National Acadamies
500 Fifth Street NW Keck 805WashingtonDC20001530196932501(c)(3)20000roundtable on health literacy
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants7TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Use of Grant FundsIdentifier
Return Reference990, Schedule I, Part 1, Question 2ReturnReference
ExplanationThe American College of Physicians Foundation disburses grant funds on a progress basis, and requires iterim and final reports.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ROBERT L HARNSBERGER
226656010000000000023665602087480
Jean A Krause
25095601250000000002634560223353

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonWilliam Baker KrauseNamePerson
FieldValueIRS element (for citing)
RelationshipFamily MemberRelationship
Amount Of Transaction27393AmountOfTransaction
Description Of TransactionCONSULTING SERVICESDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Review Policy990 Part VI, Section B, Question 11Staff reviews the Form 990, and the CEO signs and reviews the Form 990 with the Finance Chair.
Governing Documents990 Part VI, Section C, Question 19The foundation makes its Financial Statements and conflict of interest policy available on its website. Its governing documents are not available to the public.
Compensation Policy990, Part VI, Section B, Question 15a & 15bIndependent 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 Policy990, Part VI, Section B, Question 12cEach employee is required to review a listing of relationships that the Foundation has annually. If the employee has a conflict of interest it is to be disclosed upon signing the conflict of interest agreement.
EmployeesPart V Line 2aThe 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 AssetsPart XI, Line 5Other changes in net assets totalling $432,693 are made up of the following: $436,905 Unrealized gains $ 23,000 Change in value of split-interest agreements ($27,212) Pension and post-retirement change

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1American College of PhysiciansBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1190 North Independence Mall WAddressLine1
CityPhiladelphiaCity
StatePAState
ZIP Code19106ZIPCode
FieldValueIRS element (for citing)
EIN231520302EIN
Primary ActivitiesCollegePrimaryActivities
Legal Domicile StatePALegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Public Charity Status9PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs

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