Civic Intelligence

Physicians Medical Forum

990 • Fiscal year 2018 • EIN 30-0086728

Jul 01, 2017 to Jun 30, 2018 • Filed on Nov 04, 2018

Organization ProfileN/A
6114 LaSalle AveOakland, CA 94611

(510) 562-5560

Siviq Scores

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

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on this filing.

Source year 2018

Liabilities / Revenue

56th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2018 filings • 501(c)3 • <$500k nonprofits • Source year 2018

Net Margin

4th percentile

-119%

Higher net margin than 4% of similar nonprofits.

2018 filings • 501(c)3 • <$500k nonprofits • Source year 2018

Top Officer Pay

76th percentile

$0

Higher top officer pay than 76% of similar nonprofits.

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

2018 filings • 501(c)3 • <$500k nonprofits • Source year 2018

Asset Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2017 to 2018

Revenue Growth

9th percentile

-51%

Faster revenue growth than 9% of similar nonprofits.

2018 filings • 501(c)3 • <$500k nonprofits • Annualized from 2017 to 2018

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Flat

$0

Flat from 2017

Net Assets

Flat

$0

Flat from 2017

Liabilities

Flat

$0

Flat from 2017

Revenue And Expenses
Liabilities / Revenue56th percentileNet Margin4th percentile

Revenue

Down

$114,551

Down $118,625 (-51%) from 2017

Expenses

Up

$250,941

Up $2,017 (+0.8%) from 2017

Net Income

Down

-$136,390

Down $120,642 (-766%) from 2017

Historical Trend

Balance Sheet Trend

Asset GrowthScore unavailable

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

$1.5M$1.0M$500K$0-$500K-$1.0MAssets 2013: $467,523Liabilities 2013: $0Net Assets 2013: $467,5232013Assets 2014: $279,339Liabilities 2014: $0Net Assets 2014: $279,3392014Assets 2015: $0Liabilities 2015: $0Net Assets 2015: $02015Assets 2016: $0Liabilities 2016: $0Net Assets 2016: $02016Assets 2017: $0Liabilities 2017: $0Net Assets 2017: $02017Assets 2018: $0Liabilities 2018: $0Net Assets 2018: $02018Assets 2019: $0Liabilities 2019: $0Net Assets 2019: $02019Assets 2020: $152,732Liabilities 2020: $0Net Assets 2020: $152,7322020Assets 2021: $234,282Liabilities 2021: $0Net Assets 2021: $234,2822021Assets 2022: $144,909Liabilities 2022: $0Net Assets 2022: $144,9092022Assets 2023: $438,110Liabilities 2023: -$612,925Net Assets 2023: $1,051,0352023Assets 2024: $379,254Liabilities 2024: $18,320Net Assets 2024: $360,9342024

Highlighted filing

2018

Assets$0
Liabilities$0
Net Assets$0
Open 2018 Filing

Operations Trend

Revenue Growth9th percentile

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

$600K$400K$200K$0-$200KExpenses 2013: $329,8492013Revenue 2014: $370,450Expenses 2014: $472,152Net Income 2014: -$101,7022014Revenue 2015: $115,500Expenses 2015: $189,798Net Income 2015: -$74,2982015Revenue 2016: $273,600Expenses 2016: $275,846Net Income 2016: -$2,2462016Revenue 2017: $233,176Expenses 2017: $248,924Net Income 2017: -$15,7482017Revenue 2018: $114,551Expenses 2018: $250,941Net Income 2018: -$136,3902018Revenue 2019: $310,000Expenses 2019: $277,934Net Income 2019: $32,0662019Revenue 2020: $0Expenses 2020: $180,455Net Income 2020: -$180,4552020Revenue 2021: $115,350Expenses 2021: $146,807Net Income 2021: -$31,4572021Revenue 2022: $368,662Expenses 2022: $346,476Net Income 2022: $22,1862022Revenue 2023: $313,192Expenses 2023: $202,154Net Income 2023: $111,0382023Revenue 2024: $205,067Expenses 2024: $254,158Net Income 2024: -$49,0912024

Highlighted filing

2018

Revenue$114,551
Expenses$250,941
Net Income-$136,390
Open 2018 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
Nov 4, 2018
Return Version
2017v2.2
Gross Receipts
$114,551
Mission and Program Overview

Mission

Encourage the recruitment and

Encourage the recruitment and retention of african american physicians, and thereby help to eliminate health disparities, improve access to care and improve the

Balance Sheet Detail
LineBeginningEndChange
Assets
Total Assets$0$0→ $0
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$0$0→ $0
Total Liabilities and Net Assets / Fund Balance$0$0→ $0
Compensation and Service Providers
Top Officer Pay76th percentile

Board Members and Trustees

NameTitle
Albert L Brooks MdPresident
Kathryn Malone MdVice-President
Alden Mcdonald MdDirector
Renee Navarro MdDirector
Thurman Hunt MdDirector
Stalfana Bello BroadheadExecutive Director
Warren StrudwickChief Financial Officer
Carol Miller MdSecretary
Revenue and Support

Revenue Composition

Contributions and Grants
$114,551
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
All Other Contributions
$114,551
Change in Net Assets
$-136,390

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$182,201
Salaries, Compensation, and Employee Benefits$68,740
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Conferences and Meetings$113,835$0$0$113,835
Current Officers, Directors, Trustees, and Key Employees$57,600$6,400$0$64,000
Office Expenses$0$29,800$0$29,800
Fees for Services Management$13,525$0$0$13,525
Occupancy$0$8,544$0$8,544
Travel$6,597$0$0$6,597
Other Expenses$5,500$0$0$5,500
Payroll Taxes$4,266$474$0$4,740
Fees for Services Accounting$0$1,200$0$1,200
Total Functional Expenses$203,623$47,318$0$250,941
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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
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
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No
Filing and Contact Details

Filer

Filer Name
Physicians Medical Forum
EIN
30-0086728
Phone
5105625560
Address
6114 LaSalle Ave, Oakland, CA 94611

Signing Officer

Name
Warren Strudwick Md
Title
Chief Financial Officer/board Membe
Phone
5105625560
Signed
2018-11-04
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Stalfana Bello Broadhead
Formed
2002
Legal Domicile
CA
Voting Board Members
8
Independent Board Members
0
Employees
1
Volunteers
25

Preparer

Firm
Grigsby Finance and Tax Services
Address
8050 Hansom Drive, Oakland, CA 94605
Preparer
Mittie Grigsby
Phone
5106384878
Supplemental Narrative

Additional Explanations

Pt VI, Line 7A

“Acct prepares return; reviewed by E, Pres & CFO”

Pt VI, Line 12C

“Annual reviews are completed with legal review”

Pt VI, Line 15A

“business attorney recommendation based on non-profit model”

Pt VI, Line 19

“Interest parties contact org; appt is set for review”

Pt XI

“Net change in investment income”

Pt VI, Line 15B

“Review performed by board members”

Pt V, Line 3B

“Organization does not have this type of income”

Pt V, Line 14B

“organization does not have this type of service”

Pt VI, Line 11B

“Organization did not have this type of income”

Form 990, Part III, Line 4D

“1. Increased the outreach, education, scholarships 0. 114551. 0.”

Raw XML Appendix369 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.

Path#Value
IRS990/AccountantCompileOrReviewInd0true
IRS990/ActivitiesConductedPrtshpInd0false
IRS990/ActivityOrMissionDesc0ENCOURAGE THE RECRUITMENT AND RETENTION OF AFRICAN AMERICAN PHYSICIANS, AND THEREBY HELP TO ELIMINATE HEALTH DISPARITIES, IMPROVE ACCESS TO CARE AND IMPROVE THE
IRS990/AllOtherContributionsAmt0114551
IRS990/AnnualDisclosureCoveredPrsnInd0true
IRS990/AuditCommitteeInd0true
IRS990/BackupWthldComplianceInd0true
IRS990/BooksInCareOfDetail/PersonNm0STALFANO BELLO BROADHEAD
IRS990/BooksInCareOfDetail/PhoneNum05105625560
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt06114 LaSalle Ave 601
IRS990/BooksInCareOfDetail/USAddress/CityNm0Oakland
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0CA
IRS990/BooksInCareOfDetail/USAddress/ZIPCd094611
IRS990/BusinessRlnWithFamMemInd0false
IRS990/BusinessRlnWithOfficerEntInd0false
IRS990/BusinessRlnWithOrgMemInd0false
IRS990/ChangeToOrgDocumentsInd0false
IRS990/CollectionsOfArtInd0false
IRS990/CompCurrentOfcrDirectorsGrp/FundraisingAmt00
IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt06400
IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt057600
IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt064000
IRS990/CompensationFromOtherSrcsInd0false
IRS990/CompensationProcessCEOInd0true
IRS990/CompensationProcessOtherInd0true
IRS990/ConferencesMeetingsGrp/FundraisingAmt00
IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt00
IRS990/ConferencesMeetingsGrp/ProgramServicesAmt0113835
IRS990/ConferencesMeetingsGrp/TotalAmt0113835
IRS990/ConflictOfInterestPolicyInd0true
IRS990/ConservationEasementsInd0false
IRS990/ConsolidatedAuditFinclStmtInd0false
IRS990/CreditCounselingInd0false
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt0114551
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt00
IRS990/CYOtherExpensesAmt0182201
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt00
IRS990/CYRevenuesLessExpensesAmt0-136390
IRS990/CYSalariesCompEmpBnftPaidAmt068740
IRS990/CYTotalExpensesAmt0250941
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt0114551
IRS990/DecisionsSubjectToApprovaInd0false
IRS990/DeductibleArtContributionInd0false
IRS990/DeductibleNonCashContriInd0true
IRS990/DelegationOfMgmtDutiesInd0false
IRS990/Desc0THE PMF "DOCTOR ON BOARD" PROGRAM (DOB)AND COMMUNITY HEALTH AMBASSADOR INTERNSHIP (CHA) ARE PIPELINE PROGRAMS TO ENCOURAGE YOUNG, AFRICAN AMERICAN AND UNDERREPRESENTED MINORITY PRE-MED, COLLEGE/UNIVERSITY, COMMUNITY COLLEGE, POST-BACCALAUREATE STUDENTS AND HIGH SCHOOL JUNIORS AND SENIORS WHO WANT TO BECOME PHYSICIANS TO ATTEND AN INNOVATIVE ALL DAY CONFERENCE. STUDENTS RECEIVE INFORMATION ON APPLYING FOR MEDICAL SCHOOLS, MCAT, FINANCIAL AID, NETWORK WITH FACULTY, MEDICAL SCHOOL ADMINISTRATORS, PHYSICIANS IN THE COMMUNITY, ATTEND MOCK MEDICAL CLINICS AND MOCK KNOT TYING/SUTURING CLINICS, AND RECEIVE MATERIAL ON BECOMING PHYSICIANS.
IRS990/DescribedInSection501c3Ind0true
IRS990/DisregardedEntityInd0false
IRS990/DocumentRetentionPolicyInd0true
IRS990/DonorAdvisedFundInd0false
IRS990/ElectionOfBoardMembersInd0false
IRS990/EmployeeCnt01
IRS990/EmploymentTaxReturnsFiledInd0true
IRS990/EngagedInExcessBenefitTransInd0false
IRS990/ExpenseAmt070000
IRS990/FamilyOrBusinessRlnInd0false
IRS990/FederalGrantAuditRequiredInd0false
IRS990/FeesForServicesAccountingGrp/FundraisingAmt00
IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt01200
IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt00
IRS990/FeesForServicesAccountingGrp/TotalAmt01200
IRS990/FeesForServicesManagementGrp/FundraisingAmt00
IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt00
IRS990/FeesForServicesManagementGrp/ProgramServicesAmt013525
IRS990/FeesForServicesManagementGrp/TotalAmt013525
IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignOfficeInd0false
IRS990/Form8282PropertyDisposedOfInd0false
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt037.50
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt110.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt26.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt36.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt42.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt52.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt62.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt72.00
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd3X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd4X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd5X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd6X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OfficerInd3X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt70
IRS990/Form990PartVIISectionAGrp/PersonNm0STALFANA BELLO BROADHEAD
IRS990/Form990PartVIISectionAGrp/PersonNm1ALBERT L BROOKS MD
IRS990/Form990PartVIISectionAGrp/PersonNm2KATHRYN MALONE MD
IRS990/Form990PartVIISectionAGrp/PersonNm3WARREN STRUDWICK
IRS990/Form990PartVIISectionAGrp/PersonNm4CAROL MILLER MD
IRS990/Form990PartVIISectionAGrp/PersonNm5THURMAN HUNT MD
IRS990/Form990PartVIISectionAGrp/PersonNm6RENEE NAVARRO MD
IRS990/Form990PartVIISectionAGrp/PersonNm7ALDEN MCDONALD MD
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
IRS990/Form990PartVIISectionAGrp/TitleTxt0Executive Director
IRS990/Form990PartVIISectionAGrp/TitleTxt1President
IRS990/Form990PartVIISectionAGrp/TitleTxt2Vice-President
IRS990/Form990PartVIISectionAGrp/TitleTxt3Chief Financial Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt4Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt5Director
IRS990/Form990PartVIISectionAGrp/TitleTxt6Director
IRS990/Form990PartVIISectionAGrp/TitleTxt7Director
IRS990/Form990ProvidedToGvrnBodyInd0true
IRS990/FormationYr02002
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedInd0false
IRS990/FundraisingActivitiesInd0false
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt08
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt0114551
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt00
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartVInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/InvestmentInJointVentureInd0false
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0CA
IRS990/LoanOutstandingInd0false
IRS990/LobbyingActivitiesInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingCashInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0Encourage the recruitment and
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesEOYAmt00
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd0false
IRS990/OccupancyGrp/FundraisingAmt00
IRS990/OccupancyGrp/ManagementAndGeneralAmt08544
IRS990/OccupancyGrp/ProgramServicesAmt00
IRS990/OccupancyGrp/TotalAmt08544
IRS990/OfficeExpensesGrp/FundraisingAmt00
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt029800
IRS990/OfficeExpensesGrp/ProgramServicesAmt00
IRS990/OfficeExpensesGrp/TotalAmt029800
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrgDoesNotFollowSFAS117Ind0X
IRS990/OtherExpensesGrp/Desc0Bank charges
IRS990/OtherExpensesGrp/Desc1Other
IRS990/OtherExpensesGrp/Desc2scholarships
IRS990/OtherExpensesGrp/FundraisingAmt00
IRS990/OtherExpensesGrp/FundraisingAmt10
IRS990/OtherExpensesGrp/FundraisingAmt20
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt0900
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt10
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt20
IRS990/OtherExpensesGrp/ProgramServicesAmt00
IRS990/OtherExpensesGrp/ProgramServicesAmt12300
IRS990/OtherExpensesGrp/ProgramServicesAmt25500
IRS990/OtherExpensesGrp/TotalAmt0900
IRS990/OtherExpensesGrp/TotalAmt12300
IRS990/OtherExpensesGrp/TotalAmt25500
IRS990/PartialLiquidationInd0false
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/FundraisingAmt00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt0474
IRS990/PayrollTaxesGrp/ProgramServicesAmt04266
IRS990/PayrollTaxesGrp/TotalAmt04740
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfficerNm0STALFANA BELLO BROADHEAD
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgSrvcAccomActy2Grp/Desc0RECRUITMENT OF AFRICAN AMERICAN RESIDENTS AND MEDICAL STUDENTS THAT UPON THEIR COMPLETION OF THEIR ENDUCATION AND TRAINING, TO PURSE CAREERS AS PHYSICIANS AND REMAIN IN OR COME TO ALAMEDA, CONTRA COSTA OR SAN FRANCISCO COUNTIES AND NORTHERN CA BAY AREA TO PRACTICE MEDICINE.
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt066812
IRS990/ProgSrvcAccomActy3Grp/Desc0TO MAINTAIN STRATEGIC OPERATONS, OUTREACH, EDUCATION AND FUND DEVELOPMENT TO SUPPORT THE ORGANIZATIONS' VISION, MISSION, GOALS AND OBJECTIVES OF AFRICAN AMERICANS PHYSICIANS, RESIDENTS, MEDICAL STUDENTS AND PIPELINE PROGRAMS PURSING CAREERS AS PHYSICIANS IN ALAMEDA, CONTRA COSTA AND SAN FRANCISCO COUNTIES AND NORTHERN CA BAY AREA
IRS990/ProgSrvcAccomActy3Grp/ExpenseAmt066811
IRS990/ProgSrvcAccomActyOtherGrp/Desc01. Increased the outreach, education, scholarships and mentoring of African American/Black and and mentoring of African American/Black and and mentoring of African American/Black and and mentoring of African American/Black and and mentoring of African American/Black and and mentoring of African American/Black and
IRS990/ProgSrvcAccomActyOtherGrp/Desc13. PARTNERING WITH PRINCETON REVIEW'S WESTERN REGION 3. PARTNERING WITH PRINCETON REVIEW'S WESTERN REGION 3. PARTNERING WITH PRINCETON REVIEW'S WESTERN REGION 3. PARTNERING WITH PRINCETON REVIEW'S WESTERN REGION 3. PARTNERING WITH PRINCETON REVIEW'S WESTERN REGION 3. PARTNERING WITH PRINCETON REVIEW'S WESTERN REGION
IRS990/ProgSrvcAccomActyOtherGrp/Desc2EXPANDED OPPORTUNITIES SCHOLARSHIPS AND INTERNSHIPS EXPANDED OPPORTUNITIES SCHOLARSHIPS AND INTERNSHIPS
IRS990/ProgSrvcAccomActyOtherGrp/GrantAmt0114551
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt0233176
IRS990/PYExcessBenefitTransInd0false
IRS990/PYOtherExpensesAmt0163364
IRS990/PYRevenuesLessExpensesAmt0-15748
IRS990/PYSalariesCompEmpBnftPaidAmt085560
IRS990/PYTotalExpensesAmt0248924
IRS990/PYTotalRevenueAmt0233176
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReconcilationRevenueExpnssAmt0-136390
IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt0114551
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt0195000
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt0463600
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt0512500
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt0480450
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt01766101
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt00
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt06292
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt06292
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt06292
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt06292
IRS990ScheduleA/InvestmentIncomeCYPct00.00360
IRS990ScheduleA/InvestmentIncomePYPct00.00330
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00
IRS990ScheduleA/PublicSupportCY509Pct00.99650
IRS990ScheduleA/PublicSupportPY509Pct00.99670
IRS990ScheduleA/PublicSupportTotal170Amt00
IRS990ScheduleA/PublicSupportTotal509Amt01766101
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt0114551
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt0195000
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt0463600
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt0512500
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt0480450
IRS990ScheduleA/Total509Grp/TotalAmt01766101
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt01772393
IRS990/ScheduleBRequiredInd0true
IRS990/ScheduleJRequiredInd0false
IRS990ScheduleM/AnyPropertyThatMustBeHeldInd0false
IRS990ScheduleM/ReviewProcessUnusualNCGiftsInd0false
IRS990ScheduleM/ThirdPartiesUsedInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Acct prepares return; reviewed by E, Pres & CFO
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Annual reviews are completed with legal review
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2business attorney recommendation based on non-profit model
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3Interest parties contact org; appt is set for review
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4Net change in investment income
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5Review performed by board members
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6Organization does not have this type of income
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7organization does not have this type of service
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8Organization did not have this type of income
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt91. Increased the outreach, education, scholarships 0. 114551. 0.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Pt VI, Line 7a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Pt VI, Line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Pt VI, Line 15a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Pt VI, Line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Pt XI
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Pt VI, Line 15b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Pt V, Line 3b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7Pt V, Line 14b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8Pt VI, Line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9Form 990, Part III, Line 4d
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0CA
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt00
IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt0114551
IRS990/TotalEmployeeCnt01
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt047318
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0203623
IRS990/TotalFunctionalExpensesGrp/TotalAmt0250941
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotalOtherProgSrvcGrantAmt0114551
IRS990/TotalProgramServiceExpensesAmt0203623
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0114551
IRS990/TotalVolunteersCnt025
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt00
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TravelGrp/FundraisingAmt00
IRS990/TravelGrp/ManagementAndGeneralAmt00
IRS990/TravelGrp/ProgramServicesAmt06597
IRS990/TravelGrp/TotalAmt06597
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt06114 La Salle
IRS990/USAddress/CityNm0Oakland
IRS990/USAddress/StateAbbreviationCd0CA
IRS990/USAddress/ZIPCd094611
IRS990/VotingMembersGoverningBodyCnt08
IRS990/VotingMembersIndependentCnt00
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02019-02-21 02:37:17Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0WARREN STRUDWICK MD
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CHIEF FINANCIAL OFFICER/BOARD MEMBE
ReturnHeader/BusinessOfficerGrp/PhoneNum05105625560
ReturnHeader/BusinessOfficerGrp/SignatureDt02018-11-04
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Physicians Medical Forum
ReturnHeader/Filer/BusinessNameControlTxt0PHYS
ReturnHeader/Filer/EIN0300086728
ReturnHeader/Filer/PhoneNum05105625560
ReturnHeader/Filer/USAddress/AddressLine1Txt06114 LaSalle Ave
ReturnHeader/Filer/USAddress/CityNm0Oakland
ReturnHeader/Filer/USAddress/StateAbbreviationCd0CA
ReturnHeader/Filer/USAddress/ZIPCd094611
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0AC67BFBA33C8D4E0E717ED963E196CA481ED3B5E
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0AC67BFBA33C8D4E0E717ED963E196CA481ED3B5E
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt0108.91.28.40
ReturnHeader/FilingSecurityInformation/IPDt02018-11-10
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0PS
ReturnHeader/FilingSecurityInformation/IPTm012:01:33
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Grigsby Finance and Tax Services
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt08050 Hansom Drive
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Oakland
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0CA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd094605
ReturnHeader/PreparerPersonGrp/PhoneNum05106384878
ReturnHeader/PreparerPersonGrp/PreparationDt02018-11-10
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0MITTIE GRIGSBY
ReturnHeader/PreparerPersonGrp/SelfEmployedInd0X
ReturnHeader/ReturnTs02018-11-10T12:01:41-08:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02017-07-01
ReturnHeader/TaxPeriodEndDt02018-06-30
ReturnHeader/TaxYr02017

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2018 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$114,551
Expenses
$250,941
Net income
-$136,390
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.38$0.02$0.36$0.21$0.25$0.05
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.44$0.61$1.05$0.31$0.20$0.11
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.14$0.00$0.14$0.37$0.35$0.02
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.23$0.00$0.23$0.12$0.15$0.03
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.15$0.00$0.15$0.00$0.18$0.18
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.00$0.00$0.00$0.31$0.28$0.03
2018Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.11$0.25$0.14
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.00$0.00$0.00$0.23$0.25$0.02
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.00$0.00$0.00$0.27$0.28$0.00
2015Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.12$0.19$0.07
2014Detailed filing. Detailed filing data is available for this year.$0.28$0.00$0.28$0.37$0.47$0.10
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.47$0.00$0.47$0.33