Civic Intelligence

Physicians Choice Foundation

990EZ • Fiscal year 2012 • EIN 20-5695408

Jan 01, 2012 to Dec 31, 2012 • Filed on Nov 12, 2013

Organization Profile
2995 Ryan Dr SE97301
Siviq Scores

Scores are not available for this record yet.

Balance Sheet

Assets

Down

$89,685

Down $51,858 (-37%) from 2011

Net Assets

Down

$89,261

Down $34,287 (-28%) from 2011

Liabilities

Down

$424

Down $17,571 (-98%) from 2011

Revenue And Expenses

Revenue

Down

$107,565

Down $146,858 (-58%) from 2011

Expenses

Up

$141,852

Up $4,539 (+3.3%) from 2011

Net Income

Down

-$34,287

Down $151,397 (-129%) from 2011

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$150K$100K$50K$0Assets 2010: $6,438Net Assets 2010: $6,4382010Assets 2011: $141,543Liabilities 2011: $17,995Net Assets 2011: $123,5482011Assets 2012: $89,685Liabilities 2012: $424Net Assets 2012: $89,2612012Assets 2013: $0Net Assets 2013: $02013

Highlighted filing

2012

Assets$89,685
Liabilities$424
Net Assets$89,261
Open 2012 Filing

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$300K$200K$100K$0-$100KRevenue 2010: $4,776Expenses 2010: $36,424Net Income 2010: -$31,6482010Revenue 2011: $254,423Expenses 2011: $137,313Net Income 2011: $117,1102011Revenue 2012: $107,565Expenses 2012: $141,852Net Income 2012: -$34,2872012Revenue 2013: $1,399Expenses 2013: $90,660Net Income 2013: -$89,2612013

Highlighted filing

2012

Revenue$107,565
Expenses$141,852
Net Income-$34,287
Open 2012 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2012 to Dec 31, 2012
Signed
Nov 12, 2013
Return Version
2012v2.0
Filing and Contact Details

Filer

EIN
20-5695408
Raw XML Appendix200 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName0Loring Winthrop MD
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IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName2Steve Yao MD
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName3Natasha Tiffany MD
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName4Warren Griffin MD
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName5Marybeth H Beall MS
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName6Lavinia Goto RN MPH DPH
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName7SHANEY M STOROE
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IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title5Secretary/Treas
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title6President
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title7Executive Dir.
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IRS990EZ/PrimaryExemptPurpose0TO SEARCH FOR GRANTS FROM ORGANIZATIONS TO IMPROVE HEALTH CARE IN MARION AND POLK COUNTIES. TO SUPPORT CAUSES AND ENGAGE IN ACTIVITIES THAT CONTRIBUTE TO THE IMPROVEMENT AND PROMOTION OF THE HEALTH OF THE CITIZENS OF THE MID-WILLAMETTE VALLEY REGION. TO ASSIST IN PRENATAL CARE AND DRUG TREATMENT FOR THOSE IN NEED. TO OPERATE THE SYSTEM THAT ALLOWS FOR SECURE ELECTRONIC MEDICAL RECORDS.
IRS990EZ/ProgramServiceAccomplishment/DescriptionProgramServiceAccom0POPS PROGRAM - A research project to explore a performance oriented payment system that ties patient health outcomes to payment-for-services methodologies.
IRS990EZ/ProgramServiceAccomplishment/DescriptionProgramServiceAccom1OPERATION OF THE MARION-POLK OBSTETRICS MENTORING SERVICES (MOMS) PROGRAM TO PROVIDE SUBSTANCE TREATMENT AND SUPPORT TO PREGNANT WOMEN BY MENTORS, WHO ARE THEMSELVES RECOVERING ADDICTS.
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IRS990EZ/WebSite0N/A
IRS990ScheduleA/AmountsSubstContributorsTotal0473058
IRS990ScheduleA/FactsAndCircumstancesTest0Part II, Line 17a--The Foundation receives public support in the form of large donations from a variety of non-profit and for profit corporations, trusts, and individuals that support the mission of the foundation. Although these large donations make up the majority of our operational revenue over the past five years donations came from six unrelated separate individuals, organizations, trusts, and corporations.
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IRS990ScheduleB/ContributorInfo/AggregateContributions0RESTRICTED
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IRS990ScheduleO/GeneralExplanation/Explanation0PAYROLL TAX LIABILITIES - Beginning $42 PAYROLL TAX LIABILITIES - Ending $399
IRS990ScheduleO/GeneralExplanation/Explanation1Accounts Payable and Accrued Expenses - Beginning $17953 Accounts Payable and Accrued Expenses - Ending $25
IRS990ScheduleO/GeneralExplanation/Explanation2Machinery and Equipment - Beginning $638 Machinery and Equipment - Ending $508
IRS990ScheduleO/GeneralExplanation/Explanation3MOMS PLUS PROGRAM EXP $100
IRS990ScheduleO/GeneralExplanation/Explanation4TELEPHONE $331
IRS990ScheduleO/GeneralExplanation/Explanation5DEVELOPMENT MEALS $4167
IRS990ScheduleO/GeneralExplanation/Explanation6POPS PROGRAM EXP $8794
IRS990ScheduleO/GeneralExplanation/Explanation7Insurance $1119
IRS990ScheduleO/GeneralExplanation/Explanation8Depreciation $130
IRS990ScheduleO/GeneralExplanation/Explanation9Conferences, Conventions, and Meetings $162
IRS990ScheduleO/GeneralExplanation/Explanation10Office Expenses $975
IRS990ScheduleO/GeneralExplanation/Identifier0Form 990-EZ, Part II, Line 26.1
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IRS990ScheduleO/GeneralExplanation/Identifier4Form 990-EZ, Part I, Line 16.3
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ReturnHeader/BuildTS02016-02-25 16:41:14Z
ReturnHeader/Filer/EIN0205695408
ReturnHeader/Filer/Name/BusinessNameLine10PHYSICIANS CHOICE FOUNDATION
ReturnHeader/Filer/NameControl0PHYS
ReturnHeader/Filer/Phone05033629669
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ReturnHeader/Officer/DateSigned02013-11-12
ReturnHeader/Officer/Name0SHANEY M STOROE
ReturnHeader/Officer/Title0Executive Director
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ReturnHeader/PreparerFirm/PreparerFirmUSAddress/State0OR
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/ZIPCode097301
ReturnHeader/Preparer/Name0TERRENCE L KUENZI
ReturnHeader/Preparer/Phone05033997306
ReturnHeader/Preparer/SelfEmployed0X
ReturnHeader/ReturnType0990EZ
ReturnHeader/TaxPeriodBeginDate02012-01-01
ReturnHeader/TaxPeriodEndDate02012-12-31
ReturnHeader/TaxYear02012
ReturnHeader/Timestamp02013-11-12T18:38:05-08:00

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2012 • Form 990EZFacts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$89,685
Liabilities
$424
Net assets
$89,261
Revenue
$107,565
Expenses
$141,852
Net income
-$34,287
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2013Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.01$0.91$0.89
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.90$0.00$0.89$1.08$1.42$0.34
2011Summary only. Only limited summary data is available for this year.$1.42$0.18$1.24$2.54$1.37$1.17
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.06$0.06$0.05$0.36$0.32