Civic Intelligence

Patient Empowerment Network

990 • Fiscal year 2013 • EIN 27-1295230

Jan 01, 2013 to Dec 31, 2013 • Filed on Jul 01, 2014

PO Box 164698009

(408) 264-7609

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

56th percentile

0.00x

Higher debt load relative to assets than 56% of similar nonprofits.

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Liabilities / Revenue

56th percentile

0.00x

Higher debt load relative to revenue than 56% of similar nonprofits.

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Net Margin

95th percentile

69%

Higher net margin than 95% of similar nonprofits.

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Top Officer Pay

73rd percentile

$0

Higher top officer pay than 73% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Assets

$165,827

No earlier filing loaded for comparison.

Net Assets

$165,778

No earlier filing loaded for comparison.

Liabilities

$49

No earlier filing loaded for comparison.

Revenue

$235,643

No earlier filing loaded for comparison.

Expenses

$73,048

No earlier filing loaded for comparison.

Net Income

$162,595

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

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

$1.5M$1.0M$500K$0-$500KAssets 2013: $165,827Liabilities 2013: $49Net Assets 2013: $165,7782013Assets 2014: $319,182Liabilities 2014: $260Net Assets 2014: $318,9222014Assets 2015: $239,973Liabilities 2015: $288Net Assets 2015: $239,6852015Assets 2016: $254,832Liabilities 2016: $322Net Assets 2016: $254,5102016Assets 2017: $290,608Liabilities 2017: $1,268Net Assets 2017: $289,3402017Assets 2018: $221,744Liabilities 2018: $1,295Net Assets 2018: $220,4492018Assets 2019: $228,186Liabilities 2019: $152Net Assets 2019: $228,0342019Assets 2021: $991,155Liabilities 2021: $675,587Net Assets 2021: $315,5682021Assets 2022: $1,181,068Liabilities 2022: $778,129Net Assets 2022: $402,9392022Assets 2024: $370,227Liabilities 2024: $737,950Net Assets 2024: -$367,7232024

Highlighted filing

2013

Assets$165,827
Liabilities$49
Net Assets$165,778

Operations Trend

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

$3.0M$2.0M$1.0M$0-$1.0MRevenue 2013: $235,643Expenses 2013: $73,048Net Income 2013: $162,5952013Revenue 2014: $710,191Expenses 2014: $557,047Net Income 2014: $153,1442014Revenue 2015: $1,032,308Expenses 2015: $1,111,545Net Income 2015: -$79,2372015Revenue 2016: $1,260,293Expenses 2016: $1,245,389Net Income 2016: $14,9042016Revenue 2017: $1,246,500Expenses 2017: $1,190,134Net Income 2017: $56,3662017Revenue 2018: $767,116Expenses 2018: $832,932Net Income 2018: -$65,8162018Revenue 2019: $835,776Expenses 2019: $828,191Net Income 2019: $7,5852019Revenue 2021: $1,494,101Expenses 2021: $1,405,581Net Income 2021: $88,5202021Revenue 2022: $2,140,713Expenses 2022: $2,067,969Net Income 2022: $72,7442022Revenue 2024: $2,063,537Expenses 2024: $2,755,396Net Income 2024: -$691,8592024

Highlighted filing

2013

Revenue$235,643
Expenses$73,048
Net Income$162,595
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Jul 1, 2014
Return Version
2013v3.1
Gross Receipts
$235,643
Mission and Program Overview

Mission

To fortify the health care consumers with the knowledge and tools to feel

To fortify the health care consumers with the knowledge and tools to feel more confident playing a central role in decisions that affect their health, putting them more in control of their health and health care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$3,183$165,827▲ $162,644
Rtn Earn Endowment Incm Other Fnds$3,183$165,778▲ $162,595
Total Assets$3,183$165,827▲ $162,644
Liabilities
Unsecured Notes Loans Payable-$49-
Total Liabilities$0$49▲ $49
Net Assets / Fund Balance
Total Net Assets Fund Balance$3,183$165,778▲ $162,595
Total Liabilities and Net Assets / Fund Balance$3,183$165,827▲ $162,644
Compensation and Service Providers

Board Members and Trustees

NameTitle
Andrew SchorrBoard Chair, Pres
Chris DwyerBoard Member
Cynthia ChmeilweskiBoard Member
David WallaceBoard Member
Derek CaineBoard Member
Gretchen BakamisBoard Member
Jack AielloBoard Member
Pat KennedyBoard Member
Randall BroadBoard Member
Esther SchorrBoard Member, Secr
Revenue and Support

Revenue Composition

Contributions and Grants
$235,643
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
All Other Contributions
$235,643
Change in Net Assets
$162,595
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$73,048
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Expenses$72,000$0$0$72,000
Fees for Services Legal$0$520$0$520
Fees for Services Accounting$0$220$0$220
Office Expenses$0$164$0$164
Conferences and Meetings$144$0$0$144
Total Functional Expenses$72,144$904$0$73,048
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-ENTITY GREATER THAN 35% OWNED BY ANDREW SCHORRVideo Production ServicesNo$72,000
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Part VI, Line 14

Beg June 2014 the board will also have a written destruction & detention policy.

Filing and Contact Details

Filer

EIN
27-1295230
Phone
4082647609

Signing Officer

Name
Andrew Schorr
Title
Chairman
Phone
4082647609
Signed
2014-07-01
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Andrew Schorr
Formed
2009
Legal Domicile
Wa
Voting Board Members
10
Independent Board Members
8
Employees
0
Volunteers
10

Preparer

Preparer
Shelby F Boucher CPA
Phone
3607992370
Supplemental Narrative

Additional Explanations

Pt VI, Line 11B

CPA forwarded a copy of the Form 990 via email to each board member upon completion & before filing.

Pt VI, Line 2

Andrew and Esther Schorr have a family relationship

Pt VI, Line 8B

P.E.N. has no committees

Pt VI, Line 19

Upon request

Pt VI, Line 12C

The conflict of interest policy was followed by all board

Pt VI, Line 12C

(continued) members, by informing the others of the conflicts

Pt VI, Line 12C

(continued) as they arose, however beg. June 2014 there will

Pt VI, Line 12C

(continued) also be a requirement that each board member provide

Pt VI, Line 12C

(continued) a written statement about any potential conflicts

Pt VI, Line 12C

(continued) of interest annually.

Part I, Line 6

All board members volunteered their board service.

Raw XML Appendix341 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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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0CPA forwarded a copy of the Form 990 via email to each board member upon completion & before filing.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Andrew and Esther Schorr have a family relationship
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2P.E.N. has no committees
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3Upon request
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4The conflict of interest policy was followed by all board
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5(continued) members, by informing the others of the conflicts
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6(continued) as they arose, however beg. June 2014 there will
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7(continued) also be a requirement that each board member provide
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8(continued) a written statement about any potential conflicts
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9(continued) of interest annually.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt10All board members volunteered their board service.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt11Beg June 2014 the board will also have a written destruction & detention policy.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Pt VI, Line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Pt VI, Line 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Pt VI, Line 8b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Pt VI, Line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Pt VI, Line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Pt VI, Line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Pt VI, Line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7Pt VI, Line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8Pt VI, Line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9Pt VI, Line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc10Part I, Line 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc11Part VI, Line 14
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IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0904
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt072144
IRS990/TotalFunctionalExpensesGrp/TotalAmt073048
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt049
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt049
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt03183
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0165778
IRS990/TotalProgramServiceExpensesAmt072144
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0235643
IRS990/TotalVolunteersCnt010
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt03183
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0165827
IRS990/TransactionWithControlEntInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnsecuredNotesLoansPayableGrp/EOYAmt049
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine10PO BOX 1666
IRS990/USAddress/City0BELLEVUE
IRS990/USAddress/State0WA
IRS990/USAddress/ZIPCode098009
IRS990/VotingMembersGoverningBodyCnt010
IRS990/VotingMembersIndependentCnt08
IRS990/WebsiteAddressTxt0powerfulpatients.org
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02015-11-30 17:44:51Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0ANDREW SCHORR
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CHAIRMAN
ReturnHeader/BusinessOfficerGrp/PhoneNum04082647609
ReturnHeader/BusinessOfficerGrp/SignatureDt02014-07-01
ReturnHeader/Filer/BusinessName/BusinessNameLine10PATIENT EMPOWERMENT NETWORK
ReturnHeader/Filer/BusinessNameControlTxt0PATI
ReturnHeader/Filer/EIN0271295230
ReturnHeader/Filer/PhoneNum04082647609
ReturnHeader/Filer/USAddress/AddressLine10PO BOX 1646
ReturnHeader/Filer/USAddress/City0BELLEVUE
ReturnHeader/Filer/USAddress/State0WA
ReturnHeader/Filer/USAddress/ZIPCode098009
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine10SHELBY FBOUCHERCPA INC PS
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine105321 CANVASBACK RD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/City0BLAINE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/State0WA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCode098230
ReturnHeader/PreparerPersonGrp/PhoneNum03607992370
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0SHELBY F BOUCHER CPA
ReturnHeader/ReturnTs02014-07-01T08:47:28-07:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02013-01-01
ReturnHeader/TaxPeriodEndDt02013-12-31
ReturnHeader/TaxYr02013

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Filings

Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2013 filings • 501(c)3 • <$500k nonprofits