Civic Intelligence

Docs 4 Patient Care Foundation Inc

990 • Fiscal year 2017 • EIN 46-4752703

Jan 01, 2017 to Dec 31, 2017 • Filed on Aug 15, 2018

Organization ProfileWWW.D4PCFOUNDATION.ORG
1210 N Maple RdAnn Arbor, MI 48103

(888) 788-5515

Siviq Scores

Scores are not available for this record yet.

Balance Sheet

Assets

Down

$164,149

Down $71,208 (-30%) from 2016

Net Assets

Down

$157,240

Down $78,117 (-33%) from 2016

Liabilities

Up

$6,909

Up $6,909 from 2016

Revenue And Expenses

Revenue

Down

$543,021

Down $4,803 (-0.9%) from 2016

Expenses

Up

$621,233

Up $280,814 (+82%) from 2016

Net Income

Down

-$78,212

Down $285,617 (-138%) from 2016

Historical Trend

Balance Sheet Trend

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

$400K$200K$0-$200KAssets 2014: $68,634Liabilities 2014: $66,500Net Assets 2014: $2,1342014Assets 2015: $27,952Liabilities 2015: $15,000Net Assets 2015: $12,9522015Assets 2016: $235,357Liabilities 2016: $0Net Assets 2016: $235,3572016Assets 2017: $164,149Liabilities 2017: $6,909Net Assets 2017: $157,2402017Assets 2017: $172,901Liabilities 2017: $32,817Net Assets 2017: $140,0842017Assets 2018: $218,520Liabilities 2018: $40,528Net Assets 2018: $177,9922018Assets 2019: $266,987Liabilities 2019: $49,314Net Assets 2019: $217,6732019Assets 2020: $175,002Liabilities 2020: $66,848Net Assets 2020: $108,1542020Assets 2021: $107,736Liabilities 2021: $236Net Assets 2021: $107,5002021Assets 2022: $20,446Liabilities 2022: $9,797Net Assets 2022: $10,6492022Assets 2023: $38,047Liabilities 2023: $98,000Net Assets 2023: -$59,9532023Assets 2024: $9,460Liabilities 2024: $150,000Net Assets 2024: -$140,5402024

Highlighted filing

2017

Assets$164,149
Liabilities$6,909
Net Assets$157,240
Open 2017 Filing

Operations Trend

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

$800K$600K$400K$200K$0-$200KRevenue 2014: $227,715Expenses 2014: $225,581Net Income 2014: $2,1342014Revenue 2015: $247,775Expenses 2015: $236,957Net Income 2015: $10,8182015Revenue 2016: $547,824Expenses 2016: $340,419Net Income 2016: $207,4052016Revenue 2017: $543,021Expenses 2017: $621,233Net Income 2017: -$78,2122017Revenue 2017: $543,621Expenses 2017: $630,432Net Income 2017: -$86,8112017Revenue 2018: $613,883Expenses 2018: $575,975Net Income 2018: $37,9082018Revenue 2019: $607,395Expenses 2019: $567,714Net Income 2019: $39,6812019Revenue 2020: $159,120Expenses 2020: $268,639Net Income 2020: -$109,5192020Revenue 2021: $16,663Expenses 2021: $17,317Net Income 2021: -$6542021Revenue 2022: $109,172Expenses 2022: $206,023Net Income 2022: -$96,8512022Revenue 2023: $50,011Expenses 2023: $120,613Net Income 2023: -$70,6022023Revenue 2024: $115,705Expenses 2024: $196,292Net Income 2024: -$80,5872024

Highlighted filing

2017

Revenue$543,021
Expenses$621,233
Net Income-$78,212
Open 2017 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Aug 15, 2018
Return Version
2017v2.3
Gross Receipts
$543,021
Mission and Program Overview

Mission

The foundation's mission is to preserve the sanctity of the physician- patient relationship, promote quality care, support affordable access to care for all americans and to protect the patient's personal health decisions.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$242,360$151,525▼ $90,835
Pledges and Grants Receivable-$12,624-
Total Assets$242,360$164,149▼ $78,211
Liabilities
Accounts Payable and Accrued Expenses$6,908$6,909▲ $1
Total Liabilities$6,908$6,909▲ $1
Net Assets / Fund Balance
Unrestricted Net Assets$235,452$157,240▼ $78,212
Total Net Assets Fund Balance$235,452$157,240▼ $78,212
Total Liabilities and Net Assets / Fund Balance$242,360$164,149▼ $78,211
Compensation and Service Providers

Board Members and Trustees

NameTitle
Lee S Gross MdPresident
Beth Haynes MdDirector
Ori Hampel MdDirector
Hal C Scherz MdSecretary
Michael J Koriwchak MdVice Preside
Revenue and Support

Revenue Composition

Contributions and Grants
$543,021
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
All Other Contributions
$543,021
Change in Net Assets
$-78,212
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$621,233
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
Conferences and Meetings$305,968--$305,968
Fees for Services Management$116,261$12,918-$129,179
Information Technology$60,778$6,753-$67,531
Fees for Services Other$48,200--$48,200
Travel$3,155--$3,155
Advertising$2,000--$2,000
All Other Expenses$1,773$56-$1,829
Office Expenses$1,178$131-$1,309
Other Expenses$1,303--$1,303
Total Functional Expenses$601,375$19,858$0$621,233
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
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

Form 990, Page 6, Part VI, Line 11B

“Form 990 is reviewed and approved by the treasurer prior to timely filing.”

Form 990, Page 6, Part VI, Line 12C

“The conflict of interest policy is reviewed and amended, if necessary, annually by the executive board.”

Form 990, Page 6, Part VI, Line 19

“Governing documents and conflict of interest policy are made available upon written request sent to the organization.”

Filing and Contact Details

Filer

Filer Name
Docs 4 Patient Care Foundation Inc
EIN
46-4752703
Phone
8887885515
Address
1210 N MAPLE RD, ANN ARBOR, MI 48103

Signing Officer

Name
Hal C Scherz Md
Title
Secretary
Phone
8887885515
Signed
2018-08-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Hal C Scherz Md
Formed
2014
Legal Domicile
De
Voting Board Members
5
Independent Board Members
0
Employees
0

Preparer

Firm
Manley & Associates Pllc
Address
1210 N MAPLE RD, ANN ARBOR, MI 48103-2842
Preparer
Brenda Manley
Phone
5862927082
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

“The foundation's mission is to preserve the sanctity of the physician- patient relationship, promote quality care, support affordable access to care for all americans and to protect the patient's personal health decisions.”

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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1FORM 990 IS REVIEWED AND APPROVED BY THE TREASURER PRIOR TO TIMELY FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE CONFLICT OF INTEREST POLICY IS REVIEWED AND AMENDED, IF NECESSARY, ANNUALLY BY THE EXECUTIVE BOARD.
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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2017 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$164,149
Liabilities
$6,909
Net assets
$157,240
Revenue
$543,021
Expenses
$621,233
Net income
-$78,212
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.09$1.50$1.41$1.16$1.96$0.81
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.38$0.98$0.60$0.50$1.21$0.71
2022Detailed filing. Detailed filing data is available for this year.$0.20$0.10$0.11$1.09$2.06$0.97
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.08$0.00$1.08$0.17$0.17$0.01
2020Detailed filing. Detailed filing data is available for this year.$1.75$0.67$1.08$1.59$2.69$1.10
2019Detailed filing. Detailed filing data is available for this year.$2.67$0.49$2.18$6.07$5.68$0.40
2018Detailed filing. Detailed filing data is available for this year.$2.19$0.41$1.78$6.14$5.76$0.38
2017Detailed filing. Detailed filing data is available for this year.$1.73$0.33$1.40$5.44$6.30$0.87
2017Detailed filing. Detailed filing data is available for this year.$1.64$0.07$1.57$5.43$6.21$0.78
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.35$0.00$2.35$5.48$3.40$2.07
2015Detailed filing. Detailed filing data is available for this year.$0.28$0.15$0.13$2.48$2.37$0.11
2014Detailed filing. Detailed filing data is available for this year.$0.69$0.67$0.02$2.28$2.26$0.02